宫腔镜与腹腔镜联合治疗输卵管性不孕术后妊娠分析

目的:探讨应用宫腔镜和腹腔镜联合治疗女性输卵管性不孕的临床价值。方法:回顾性分析160例输卵管性不孕患者行宫腹腔镜联合治疗后的临床资料和术后12～24个月随访资料,分析术后妊娠结局及相关因素。结果:术后总妊娠率为36.3%(58/160),其中3例流产;正常宫内妊娠30%(48/160),已足月分娩46例,早产2例,7例异位妊娠,异位妊娠发生率为4.4%(7/160)。术前输卵管病变程度是影响手术预后的主要因素。结论:宫腔镜与腹腔镜联合是治疗轻到中度输卵管粘连与堵塞的有效方法,能恢复输卵管正常的解剖关系,提高受孕率。

Objective：Evaluate clinical value of laparoscopy combined with hysteroscopy for the treatment of women with tubal infertility.Methods：In a retrospective analysis of 160 patients with tubal infertility,we collect the clinical data and the follow-up data after 12～24 months,then analyze the Outcome of pregnancy after surgery and the related factors.Results：The pregnancy rate after surgery was 36.3%（58/160）.3 cases were abortion,normal intrauterine pregnancy rate was 30%（48/160）,46 cases were term delivery,2 cases were premature delivery,7 cases were ectopic pregnancy,ectopic pregnancy rate was 4.4%（7/160）.The degree of tubal lesion before surgery is the main factor affecting the Surgical outcomes.Conclusion：The treatment of laparoscopy combined with hysteroscopy is the effective way for mild and moderate cases with tubal adhesion and tubal blockage.It can restore normal anatomy of the fallopian tubes.It also can increase the pregnancy rate.