宫、腹腔镜联合手术诊治不孕症的临床分析

Clinical analysis of laparoscopy combined with hysteroscopy in the treatment of infertility

目的:探讨宫、腹腔镜联合手术诊治不孕症的价值。方法:为160例不孕症患者行宫、腹腔镜联合手术,对其病因做出诊断,并予以针对性的治疗。结果:盆腔粘连和输卵管阻塞是不孕症的主要原因,子宫内膜异位症是次要原因,160例患者经宫、腹腔镜联合手术后受孕率达45.5%。结论:宫、腹腔镜联合手术诊治不孕症创伤小、效果好、康复快,可替代开腹手术。

Objective：To evaluate the clinical value of hysteroscopy combined with laparoscopy in treating infertility.Methods：One hundred and sixty patients with infertility underwent hysteroscopy combined with laparoscopic operation,their etiological factors were diagnosed and pertinently treated.Results：The major reasons of infertility were pelvic adhesion and the obstruction of fallopian tube.The secondary cause was endometriosis.After treating with hysteroscopic and laparoscopic operation,the pregnancy incidence of 160 cases was about 45.5%.Conclusions：Hysteroscopy combined with laparoscopy is mini-invasive and can replace laparotomy in treatment of infertility with better effect,less trauma and quicker recovery.