不孕症治疗中采取宫腹腔镜联合手术的应用观察  

Application observation of hysteroscopy combined with laparoscopy in the treatment of infertility

作　　者：黄宁[1] Huang Ning(Reproductive Department of Nanning Maternal and Child Health Care Hospital(Guangxi)530011)

机构地区：[1]南宁市妇幼保健院生殖科,广西530011

出　　处：《中国社区医师》2018年第13期67-68,70,共3页Chinese Community Doctors

摘　　要：目的:观察在不孕症治疗中采取宫腹腔镜联合手术的临床应用效果。方法:收治不孕症患者486例。所有患者均行宫腔镜、腹腔镜联合手术,观察宫腹腔镜的诊断结果及治疗情况。术后随访18个月,记录患者妊娠情况。结果:宫腹腔镜检查结果显示所有患者中原发不孕126例(25.9%),继发性不孕360例(74.1%);术后随访发现患者妊娠113例,异位妊娠14例,妊娠率23.3%。结论:宫腹腔镜下联合手术能准确判定不孕原因、类型,合理选择后续生育指导,对患者生理功能干扰少,提高了妊娠率。Objective:To observe the application effect of hysteroscopy combined with laparoscopy in the treatment of infertility.Methods:486 patients with infertility were selected.They were all treated by hysteroscopy combined with laparoscopy.We observed the diagnosis and treatment of uterine laparoscopy.After 18 months of follow-up,the condition of pregnancy was recorded.Results:Hysteroscopy showed that 126 cases(25.9%)had primary infertility,and 360 cases(74.1%)had secondary infertility.After the follow-up,113 cases of pregnancy and 14 cases of ectopic pregnancy were found.The pregnancy rate was 23.3%.Conclusion:Hysteroscopy combined with laparoscopy can accurately identify the causes and types of infertility,and choose reasonable follow-up guidance for childbirth.

关 键 词：不孕症 宫腹腔镜 临床应用效果 

分 类 号：R713.7[医药卫生—妇产科学]