子宫输卵管造影联合宫腹腔镜检查诊治不孕症的临床应用

Hysterosalpingography combined with hysteroseopy and laparoscopy in the diagnosis and treatment of female infertility

目的 探讨子宫输卵管造影（HSG）联合宫腹腔镜检查在不孕症诊治中的价值.方法 选择2003年6月-2009年12月在我院就诊的136例不孕症患者先后进行子宫输卵管造影（HSG）、宫腔镜、腹腔镜检查,明确诊断并进行治疗,比较其与宫腔镜、腹腔镜检查在病因诊断中的符合率及术后妊娠情况.结果 诊断宫腔内病变：宫腔镜检出率34.56%,HSG检出率10.29%,两者比较差异有极显著性（P＜0.01）.诊断盆腔内病变：腹腔镜检出率80.88%,HSG检出率23.53%,两者比较差异有极显著性（P＜0.01）.患者术后妊娠率35.29%.结论 子宫输卵管造影（HSG）联合宫腹腔镜检查,直视下可直接寻找导致不孕的原因,准确性高,有利于宫腹腔内病变的治疗,术后妊娠率高,是目前不孕症诊治的最佳方法一,临床上值得推广.

Objective To explore the value of hysterosalpingography （HSG） combined with hysteroscopy and laparoscopy in the diagnosis and treatment of female infertility.Methods 136 women with infertility who had visited our hospital during June 2003 to December 2009 received HSG and hysteroscopy and laparoscopy,and the rate of diagnosis accordance was retrospectively analyzed and compared with the findings by hysteroscopy or laparoscopy. The pregnancy rate in the women was determined. Results There was significant difference in the detection rate of intrauterine lesions between vs. 10.29%,P〈0.01）. The detection rate of intrapelvic diseases differed significantly between laparoscopy and HSG （80.88% vs. 23.53%,P〈0.01）. The postprocedural pregnancy rate was 35.29%.Conclusions HSG combined with hysteroscopy and laparoscopy can visually and highly accurately find the causes of infertility,is beneficial for the treatment of intraurine and intrapelvic diseases,and has a higher postprocedural pregnancy rate. It is currently one of the best procedures in the diagnosis and treatment of female infertility and is worth popularizing clinic ally.