宫腹腔镜联合治疗不孕症66例体会

目的:探讨宫腹腔镜联合下治疗不孕症的方法及临床疗效.方法:2009年5月～2010年3月在本院行宫腹腔镜联合治疗不孕症患者66例,分析临床疗效。结果:经过本方法治疗后,成功治愈61例(92.6%),失败5例(7.4%)。失败因素:输卵管峡部伞端严重堵塞,无法通开3例,间质部堵塞2例。术后随访6～36个月,本组病例妊娠43例(65%)。结论:宫腹腔镜联合应用治疗不孕症,可明确输卵管堵塞部位,子宫内膜异位症,多囊卵巢等盆腔情况,具有创伤小,出血少,复通率高,妊娠率高,疗效稳定,值得临床推广。

to study the method of laparoscopy combined with Hysteroscopy in the treatment of infertility and clinical effects of.：May 2009-～2010 year,in March the Court Palace of laparoscopic treatment of 66 cases of infertility patients,analysis of clinical effect.Results：after this treatment,successful treatment of 61 cases（92.6%） ,failed in 5 cases（7.4%） .Failure factors：tubal badly clogged,cannot pass opened in 3 cases,proximal blockage in 2 cases.Postoperative follow-up of 6-36 months,this group of cases of 43 cases of pregnancy（65%） .Conclusion：laparoscopy combined with Hysteroscopy in the treatment of infertility,specifically tubal blockage position,endometrium of patients,pelvic conditions such as polycystic ovary,with small injuries,less bleeding,compound high pass rates,high rates of pregnancy,clinical stability,and clinical promotion.