宫-腹腔镜联合诊治输卵管因素不孕症临床分析

Application of hysteroscopy-laparoscopic method for the diagnosis and treatment of infertility due to oviduct factor

目的:探讨宫-腹腔镜联合诊治输卵管因素不孕症的临床疗效及优势。方法:收集100例输卵管因素不孕症的患者临床资料,回顾性分析经宫-腹腔镜联合诊治的情况。结果:100例不孕症中共189条输卵管,其中144条有梗阻或通而不畅,45条通畅;术后输卵管疏通率达56.9%。术后随访10～30个月,已有32例患者受孕(受孕率32.0%)。结论:宫-腹腔镜联合使用能安全有效地疏通输卵管,提高手术成功率,值得推广应用。

Objective： To explore the clinical efficacy and superiority of hysteroscopy-laparoscopic method for diagnosis and treatment of infertility due to oviduct factors.Methods：Selected the clinical data of 100 cases with infertility due to oviduct factors,retrospectively analyzed the diagnosis and treatment of these cases.Results：In the 100 infertility cases（189 oviducts）,144 oviducts were blocked,of which 59.45% were smooth after the surgery.According to 10-30 months followed-up,32 patients were pregnant（pregnancy rate was 32.0%）.Conclusions：The hysteroscopy-laparoscopic method is safe and effective to clear the oviduct,it can increase the success rate of the surgery,thus can be applied in large scale.