宫腔镜、腹腔镜联合诊治不孕症临床观察

Clinical Observation of Treating Infertility Patients by Combined Therapy of Hysteroscope and Laparoscope

目的:观察宫腔镜、腹腔镜联合诊治不孕症的临床效果。方法:使用OLYMPUS宫腔镜和德国W.isap电视腹腔镜,在月经干净3～7天行腹腔镜检查+手术和宫腔镜检查+手术的宫腔镜和腹腔镜联合手术。结果:在病因中慢性盆腔炎继发不孕高于原发不孕,两者比较差异有显著性意义(P<0.01),子宫内膜异位症原发不孕发生率高于继发不孕(P<0.01)。其它因素比较差异无统计学意义P>0.05);随访24个月,术后妊娠65例,妊娠率59.1%,妊娠时间最短术后5个月,最长23个月。结论:宫腔镜、腹腔镜联合诊治可同时进行宫腔、盆腔疾病的诊断和治疗,具有操作简便、创伤小、迅速准确、手术成功率高的特点,是不孕症重要的检查及治疗手段,具有在临床推广价值。

Objective：To observe clinical effect of treating infertility patients with combined therapy of hysteroscope and laparoscope.Methods：By use of OLYMPUS hysteroseope and German Wisap video-laparoscope, laparoscopy ＋ surgery and hysteroscopy ＋ hysteroscope and laparoseope combined surgery were performed within 3-7 days after ending of the menstrual cycle.Results：Secondary infertility.is a much probable cause than primary infertility as a result of chronic pelvic inflammation.showing significance（P〈0.01）;on the other hand,primary infertility is a much probable cause than secondary fertility as a result of endometriosis（P〈0.01 ）.It showed no significance by comparing other faetors（P〉0.05）;in the following 24 months for follow-up,65 cases of pregnancy after surgery appeared,up to 59.1%,with post-surgery pregnancy rate between 5 and 23 months.Conelusion：Combined therapy of hysteroscope and laparoscope can be applied to diagnosis and treatment of cervix and pelvic dlseases,Characterized by simple operation, small wound, quickness, accuracy and high success ratio,it is a crucial approach to examine and treat infertility.As a result, it is of high value for clinical promotion.