宫腹腔镜联合诊治不孕症176例临床分析

Clinical analysis of the diagnosis and treatment by hysteroscope and laparoscope in 176 infertility cases

目的:探讨腹腔镜与宫腔镜联合手术在不孕症诊断治疗中的应用价值。方法:对176例不孕症患者施行宫腔镜和腹腔镜联合手术,观察其诊疗效果。结果:盆腔粘连、输卵管因素、子宫内膜异位症、内膜息肉是不孕症常见原因。腹腔镜监视下宫腔镜插管通液较子宫输卵管碘油造影通畅率有非常显著性差异(P<0.01),腹腔镜手术后输卵管再通率44.17%。结论:腹腔镜与宫腔镜联合诊治不孕症直观、准确、治疗效果好,是诊治不孕症的可靠手段。

Objective To evaluate the advantages of combining laparoscope and hysteroscope in the diagnosis and treatment of infertile patients. Methods One hundred and seventy-six infertility cases were diagnosed and treated by hysteroscope and laparoscope, the diagnostic and curative effect were analyzed. Results The pelvic adhesion, fallapian tubes, endometriosis, endometrial polyp were the main causes of infertility. There was a significant difference in the efficacy between the hysterosalpingography and drugs irrigation by hysteroscope tubal catheterization under surveillance of celioscope. 44. 17% of obstructed fallopian tubes became smooth after operation with celioscope.Conclusion It is a visual, precise and effective method to combine laparoscope with hysteroscope to diagnose and treat infertile patients.