原发不孕患者宫腹腔镜术后妊娠的相关因素分析  

Analysis on related factors of pregnancy after hysteroscopy and laparoscopy in primary infertile women

作　　者：覃春容[1] 陈士岭[2] 姚吉龙[3] 任晓慧[3] 张丽[3] 古衍[3] 彭莉[3] 汤德民 王佳慧[3] 

机构地区：[1]在南方医科大学南方医院生殖医学中心 [2]南方医科大学南方医院生殖医学中心 [3]南方医科大学附属深圳市妇幼保健院妇科,518028

出　　处：《中国妇幼保健》2010年第3期370-372,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨联合宫腹腔镜手术治疗后妊娠的原发不孕患者,分析其临床特点,了解术后获得妊娠的时间分布特点。方法:收集2003年1月～2006年1月因原发不孕在本院先后或同时行宫腹腔镜联合检查的59例患者,根据术后妊娠情况,分为妊娠组21例及同期未妊娠组38例,对其临床特点,手术后妊娠率及术后获得妊娠的时间分布特点进行回顾性分析。结果:子宫不全纵隔在妊娠组的不孕患者和未妊娠组患者差别有统计学意义(P=0.008),妊娠组的不孕患者以子宫内膜异位症为主(38.1%),而未妊娠组不孕患者以慢性盆腔炎为主(47.4%),差异有统计学意义(P=0.026)。59例原发不孕患者宫腹腔镜联合检查明显优于单独的宫腔镜或腹腔镜检查,可评价输卵管功能,在矫治可逆的输卵管病变及人工助孕方式选择方面至关重要。结论:手术有效者多在术后18个月内妊娠,故应重视术后18个月的最易受孕期,必要时可联合助孕治疗,增加患者妊娠率。Objective： To explore the clinical characteristics of pregnancy after hysteroscopy and laparoscopy in primary infertile women, investigate the time distribution and characteristics. Methods： 59 primary infertile women undergoing hysteroscopy and laparoscopy from January 2003 to January 2006 were divided into pregnancy group （21 cases） and non -pregnancy group （38 cases） according to pregnancy or not after operation, the clinical characteristics, pregnancy rate and time distribution were analysed retrospectively. Results： There was significance difference in incidence of incomplete uterine septum between pregnancy group and non - pregnancy group （ P = 0. 008）, in pregnancy group, 38.1% of the women had endometriosis, while in non -pregnancy group, 47.4% of the women had chronic pelvic inflammatory disease, there was significant difference （P = 0. 026） . Combined examination of hysteroscopy and laparoscopy was superior to single examination of hysteroscopy or laparoscopy, which played an important role in evaluation of oviduct function, treatment of reversible oviduct lesions and choice of assisted reproductive techniques. Conclusion： Most of the women after hysteroscopy and laparoscopy get pregnancy within 18 months, and 18 months after hysteroscopy and laparoscopy is vital period for the women, assisted reproductive techniques maybe adopted to increase the pregnancy rate if necessary.

关 键 词：宫腔镜 腹腔镜 原发性 不孕 

分 类 号：R711.6[医药卫生—妇产科学]