宫、腹腔镜联合诊治不孕症的体会  

Application of hysteroscopy united with laparoscopy in diagnosis and treatment of infertility

作　　者：蔡智慧[1] 冯丽[1] 刘梅云[1] 张春英[1] 

机构地区：[1]河北大学附属医院,河北保定071000

出　　处：《腹腔镜外科杂志》2011年第9期659-661,共3页Journal of Laparoscopic Surgery

摘　　要：目的:研究宫、腹腔镜联合诊治不孕症的临床效果。方法:随机将120例不孕症患者分为治疗组和对照组。治疗组行宫腔镜与腹腔镜联合诊治,对照组仅行腹腔镜手术。对比分析两组患者宫腔镜、腹腔镜的检查结果及输卵管再通率,一年内妊娠率等。结果:两组患者自主排尿时间、自主肛门排气时间、下床时间及住院总时间差异均有统计学意义(P<0.05)。治疗组输卵管术后总复通率显著高于对照组(χ2=30.14,P<0.01)。治疗组一年内妊娠率为90.0%,对照组为71.7%,治疗组高于对照组(χ2=14.86,P<0.01)。结论:宫腔镜及腹腔镜诊治妇科疾病各有优势,两者联合应用不仅能显著提高诊断率及疗效,还可弥补各自的不足,提高患者的术中耐受性,促进术后康复,缩短住院时间,减少费用,并提高患者的术后妊娠率。因此,宫、腹腔镜联合应用可作为诊治女性不孕症的优选方法。Objective ： To investigate the clinical significance of hysteroscopy united with laparoscopy in diagnosis and treatment of infertility. Methods：The 120 infertile patients from Oct. 2008 to Oct. 2010 were randomly divided into two groups as therapy group and control group. Therapy group underwent diagnosis and surgery with hysteroscopy plus laparoscopy, while control group underwent diagnosis and surgery with laparoscopy only. The result of hysteroscopic and laparoscopic examination, oviduct recanalization rate, and pregnancy rate in 1 year was compared between the 2 groups. Results：When comparing the two groups with the test results in hysteros-copy and laparoscopy, there was no significant difference between them in lesion at cavity of uterus and pelvic cavity （P 〉 0.05 ） , which showed that the two groups were comparable. The therapy group was significantly better than the control group in time of independent urination, passage of exhaust by anus, out-of-bed activity and total hospital stay （ P 〈 0.05 ）. The total rate of oviduct recanalization of the therapy group was obviously higher than that of the control group （ X2= 30.14, P 〈 0.01 ）. The rate of pregnancy in one year was 90.0% in the therapy group and 71.7% in the control group （X2 = 14.86, P 〈 0.01 ）. Conclusions：Hysteroscopy and laparoscopy show obvious advantages in diagnosing and treating infertility. Combination of them can improve the diagnostic efficiency and treatment effect, make up shortages of each other,increase the toleration of operation, improve postoperative recovery, and shorten hospital stay and decrease the costs. Hysteroscopy united with laparoscopy can be recognized as the prior choice in diagnosing and treating infertility.

关 键 词：不育 女(雌)性 宫腔镜检查 腹腔镜检查 

分 类 号：R713[医药卫生—妇产科学]