宫腹腔镜联合诊治女性不孕症500例临床分析  

Clinical analysis on 500 infertile women diagnosed and treated with hysteroscopy combined with laparoscopy

作　　者：郭政[1] 王丽英[2] 李华[1] 

机构地区：[1]山西中医学院中医系妇产科教研室,山西太原030024 [2]山西现代女子医院妇产科

出　　处：《中国妇幼保健》2011年第34期5388-5390,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨宫、腹腔镜联合检查在女性不孕症中的诊治价值。方法:对2008年1月～2009年12月500例女性不孕症的宫、腹腔镜联合检查结果进行回顾性分析。结果:宫、腹腔镜检查发现盆腔异常445例,占89.0%。女性不孕症的主要原因依次为慢性盆腔炎(58.6%)、多囊卵巢综合征(18.0%)、子宫内膜异位征(14.0%)。继发性不孕症中,慢性盆腔炎的构成比高于原发不孕(χ2=8.60,P<0.01),多囊卵巢综合征的构成比低于原发不孕(χ2=17.02,P<0.01)。盆腔粘连松解术、输卵管伞端成形及造口术、卵巢打孔术、内异症电灼术为主要术式。结论:宫、腹腔镜联合检查可明确女性不孕的原因,并针对病因实施相应的微创手术治疗,两种微创手术优势互补,是目前诊治女性盆腔因素不孕症的最佳方法。Objective：To explore the value of laparoscopy combined with hysteroscopy in diagnosis and treatment of women with infertility.Methods：The results of 500 infertile women receiving hysteroscopy combined with laparoscopy from January 2008 to December 2009 were analyzed retrospectively.Results：445 women were found with pelvic abnormality by hysteroscopy combined with laparoscopy,accounting for 89.0%.The main causes of female infertility were chronic pelvic inflammatory disease（58.6%）,polycystic ovary syndrome（18.0%） and endometriosis（14.0%）.The proportion of chronic pelvic inflammatory disease in women with secondary infertility was significantly higher than that in women with primary infertility（χ2=8.60,P0.01）,while the proportion of polycystic ovary syndrome in women with secondary infertility was significantly lower than that in women with primary infertility（χ2=17.02,P0.01）.The major surgical methods were pelvic adhesiolysis,fimbrioplasty and salpingostomy,ovarian drilling and cautery of endometriosis.Conclusion：Laparoscopy combined with hysteroscopy can confirm the causes of female infertility,corresponding minimal invasive surgery can be conducted targeting to the causes of female infertility,the advantages of laparoscopy and hysteroscopy are complementary,which are the optimal methods to diagnose and treat women with infertility induced by pelvic factor.

关 键 词：不孕症 宫腔镜 腹腔镜 

分 类 号：R711[医药卫生—妇产科学]