宫腹腔镜联合手术诊治不孕症180例临床分析

Clinical Analysis of Diagnosis and Treatment of 180 Cases with Infertility with Palace Laparosopic Surgery

目的探讨联合宫腔镜和腹腔镜在诊治不孕症中的应用价值。方法对180例不孕症患者进行宫腹腔镜联合诊治,了解其有无宫腔病变、盆腔病变及输卵管通畅情况,并进行相应治疗。结果所有患者均成功实施了宫腹腔镜联合手术。研究发现如果只应用腹腔镜进行不孕症的诊治,可能会发现不了宫腔内的病变104例(104/180,57.8%),如果只应用宫腔镜可能发现不了盆腔内的病变140例(140/180,77.8%)。结论联合应用宫腹腔镜明显提高了不孕症诊断的准确性,并可同时实施有针对性的治疗。在不孕症患者疑难宫腔镜手术中实施腹腔镜监护,提高了手术的安全性。

Objective To study diagnosis and treatment of the application wtih the combined laparoscopy and hysteroscopy in infertility. Methods 180 cases of infertility palace laparoscopic diagnosis and treatment of the joint to find out whether the uterine cavity disease, tubal patency and pelvic lesions,and the corresponding treatment. Results All patients had successful implementation of the Palace of laparoscopic surgery. The study found only if the application of laparoscopy for diagnosis and treatment of infertility may be able to detect intrauterine lesions of 104 cases（104/180,57.8%）, only if the application can not be hysteroscope may be found within the pelvic lesions 140 cases（140/180, 77.8% ）. Conclusion Laparoscopy has improved the accuracy of the diagnosis of infertility,and at the same time the implementation of targeted therapy. In patients with infertility problems in the implementation of laparoscopic surgery hysteroscopy custody,to improve the operation of security.