宫腔镜、腹腔镜联合诊治不孕症108例分析

Analysis of Combined Hysteroscopy and Laparocscopy in the Diagnosis and Treatment of 108 Cases with Sterility

【目的】探讨宫腔镜与腹腔镜联合诊治不孕症的临床价值。【方法】对108例不孕症患者实施宫腔镜、腹腔镜诊断、治疗;观察输卵管通液情况及其与子宫输卵管碘油造影(HSG)结果比较;追踪不孕症患者术后受孕情况。【结果】盆腔粘连,子宫内膜异位症,宫腔病变是不孕症的常见原因。宫腔镜、腹腔镜联合应用能提高输卵管复通率(81.94%)及受孕率(54.63%)。【结论】宫腔镜、腹腔镜联合诊治技术在不孕症治疗中具有重要作用。

To explore the clinical value of combined hysteroscopic and laparoscopic treatment for sterility.Hysteroscopic and laparoscopic diagnoses and treatments were applied to 108 infertile cases.Hydrotubation,patency of tubes were observed and compared with hysterosalpinograms(HSGs); the fertile situation after operations of sterile patients was tracked.Pelvic adhesion, endometriosis,and morbid changes in the uteri were common causes of sterility. The combined hysteroscopy and laparscopy could improve the repatency rate of salpinxes(81.94%)and the impregnation rate(54.63%).[Conclusion]The combined hysteroscopic and lapraoscopic treatment technique has significant effects in the treatment of sterility.