宫腔镜联合腹腔镜在不孕症治疗的临床价值分析  

The effect of hysteroscopic myomectomy and laparoscopic myomectomy in treatment of infertility

作　　者：张妍玫 李华军[2] 郑典宝 

机构地区：[1]江苏省南京市长江医院妇科,210003 [2]北京市卫生部中日友好医院妇科 [3]江苏省徐州市中医院泌尿外科

出　　处：《中国妇幼保健》2015年第19期3220-3222,共3页Maternal and Child Health Care of China

基　　金：江苏省中医药局科技项目〔LZ13134〕

摘　　要：目的：探讨宫、腹腔镜手术在治疗不孕症的临床价值。方法：收集2012年3月～2013年12月在该院收治的1029例不孕症患者，按入院的顺序随机分为两组：对照组504例和观察组525例。结果：对照组444例接受随访，观察组443例接受随访，随访时间1～24个月，两组的随访率分别为88．10％和84．38％。两组中的子宫内膜息肉、子宫肌瘤和纵隔子宫患者的术后妊娠情况相当，差异无统计学意义（P〉0．05）；与对照组相比，观察组的盆腔粘连合并慢性输卵管炎、多囊卵巢综合症、盆腔粘连、子宫内膜异位症和宫腔粘连等患者的术后妊娠情况较好，差异有统计学意义（P〈0．05）。结论：宫腔镜联合腹腔镜在不孕症治疗方面可相互吸收优点，克服缺陷，提高妊娠效果，是治疗不孕症最为有效的治疗方法。Objective To explore the clinical value of hysteroscopic myomectomy and laparoscopic myomectomy in treatment of in- fertility. Methods From March 2012 to October 2013, 1 029 cases of infertility female patients in our hospital were collected and randomly divided into 2 groups ： 509 cases in control group and 520 cases in observation group. Results 442 cases in the control group and 445 cases in the observation group had been followed up from l to 24 months. The follow-up rates in 2 groups were 87. 6% and 84. 8% , respective- ly. The pregnancy rates in patients with endometrial polyps, myoma of uterus and mediastinal uterus had no significantly differences （P〉 0. 05 ） . The pregnancy rates in pelvic adhesion with chronic salpingitis, multipolyeystic ovary syndrome, pelvic adhesion, endometriosis and uterine adhesion were significantly different （P〈0. 05 ） . Conclusion The combination of hysteroscopy and laparoscopy in the treatment of infertility could take the advantages of each other and overcome defects and improve the effect of pregnancy, which is the most effective treat- ment of infertility treatments.

关 键 词：宫腔镜 腹腔镜 不孕症 

分 类 号：R711.6[医药卫生—妇产科学]