宫腔镜和腹腔镜联合诊治不孕症的临床效果分析

Clinical Effect of Hysteroscopy and Laparoscopy Combined Used in the Diagnosis and Treatment of Infertility

目的:探讨宫腔镜联合腹腔镜诊治不孕症的治疗效果,旨在提高患者的受孕率。方法:将2010年1月～2011年12月在我院妇科进行诊治的96例作为研究对象。对患者采用宫腔镜联合腹腔镜进行诊断治疗,并对诊治效果进行分析。结果:原发不孕组的慢性盆腔炎所占比率(29.17%)显著低于继发不孕组(61.11%),而子宫内膜异位症和PCOS所占的比例显著高于继发不孕组。96例患者,单纯应用腹腔镜检查,有42例患者漏诊;如果单纯应用宫腔镜检查,将有69例出现漏诊。术后6个月,有38例妊娠,总妊娠率为40.86%。结论:宫腔镜联合腹腔镜诊治不孕症,可以明显提高再次受孕率,值得在临床实践中推广应用。

Objective：To investigate the effect of hysteroscopy and laparoscopy combined used in the diagnosis and treatment of infertility,aimed at improving the pregnancy rate in patients.Methods：96 cases diagnosed and treated in gynecological department of our hospital in January 2010 to December 2011 were enrolled for the study.Patients were diagnosed and treated using hysteroscopy and laparoscopy combined,and the clinical effects were analyzed.Results：The chronic pelvic inflammatory disease percentage（29.17%） of primary infertility group was significantly lower than the secondary infertility group（61.11%）,while endometriosis and PCOS rate was significantly higher than that of secondary infertility group.In 96 patients,42 patients were missed if the laparoscopy was only used;while 69 cases were missed if hysteroscopy was only used.6 months after surgery,38 cases were pregnancy;with the pregnancy rate of 40.86%.Conclusion：Hysteroscopy and laparoscopy combined used in diagnosis and treatment of infertility can significantly improve the pregnancy rate,it is worth to use in clinical practice.