宫、腹腔镜联合应用在女性不孕症诊治中的价值

Clinical effect of combination of hysteroscope and laparoscope in the treatment of female infertility

目的:探讨宫、腹腔镜联合应用在女性不孕症诊治中的价值。方法:联合应用宫、腹腔镜对82例不孕症患者进行检查,并对病因明确者行相应治疗。对宫、腹腔镜联合检查结果与宫、腹腔镜单独检查及B超检查结果进行比较,并分析不孕症原因和宫、腹腔镜联合诊治输卵管通常情况。结果:宫、腹腔镜联合检查异常率为92.68%,明显高于单独使用宫腔镜(47.56%)、腹腔镜(84.14%)或B超(76.82%)检查。不孕症的主要原因:盆腔炎、子宫内膜炎、子宫内膜异位症、盆腔结核分别占36.58%、18.29%、15.85%、9.76%。原发、继发不孕症手术前输卵管通畅率分别为41.10%、59.42%,术后为68.49%、81.16%,术后妊娠率达36.40%。结论:应用宫、腹腔镜联合诊治不孕症患者能直观、准确、全面地明确盆腔、宫腔疾患,并予以针对性治疗,可提高手术疏通输卵管的成功率,提高女性不孕症患者的妊娠情况。

Objective: To Investigate the Value of combined use of hysteroscope and laparoscope in treatment of female infertility. Methods: Data of 82 women with infertility who were treated by combined application of hysteroscope and laparoscope in the past three years were reviewed respectively. Results: Seventy-six of 82 cases were found abnormality by combined application of hysteroscope and laparoscope. Of the 82 cases,pelvic inflammation,endometriosis,pelvic tuberculosis,and endometritis were 36.58%,18.29%,15.85%, 9.76% respectively. The unobstructed rates of primary infertility and secondary infertility before treatment were 41.10%、59.42% respectively. After treatment for the above cases were 68.49%, 81.16% respectively. The pregnancy rate of 66 was 36.40%. Conclusions: Hysteroscope combined with laparoscope can determine the causes of infertility directly and accuratly. Therefore corresponding treatment is possible. Under hysterscope, fallopian patient can be observed by liquid instillation and proximal obstruction can be cleaned directly. The combined use of hysteroscope and laparoscope can markedly increase the rate of success of fallopian unobstructed. Thus the therapeutic rate of infertility can be increaseed.