宫腔腹腔镜联合应用在不孕症诊治中的临床应用

Applications of Hysteroscopy Combined with Laparoscopy in the Diagnosis and Treatment of Infertility

目的:探讨宫腔腹腔镜联合应用在不孕症诊治中的临床应用价值。方法:回顾性分析笔者所在医院2009-2011年收治的82例不孕症患者的临床资料,所有患者均采取宫腔腹腔镜联合诊断和治疗。结果:宫腔腹腔镜联合诊断发现本组82例不孕症患者中慢性盆腔炎37例,子宫内膜异位症23例,多囊卵巢12例,卵巢囊肿6例,宫腔粘连4例。经宫腔腹腔镜联合治疗后,输卵管通畅48例(58.5%),通而不畅19例(23.2%),不通15例(18.3%)。对患者进行6～12个月的随访,发现术后妊娠43例,妊娠率为52.4%。结论:宫腔腹腔镜联合手术治疗不孕症,对患者创伤小,术后恢复快,术后并发症的发生率较低,妊娠率较高,是一种安全有效的治疗不孕症的方法,值得临床进一步推广使用。

Objective： To explore the application effect of hysteroscopy combined with laparoscopy in the diagnosis and treatment of infertility. Method： 82 patients with infertility in our hospital from 2009 to 2011 years were analyzed retrospectively, and all patients were diagnosed and treated by hysteroscopy combined with laparoscopy.Resnlt： In the 82 cases of infertility, 37 patients with chronic pelvic inflammatory disease; 23 patients with Endometriosis; 12 patients with polycystic ovary; 6 patients with ovarian cysts and 4 patients with Intrauterine adhesions were diagnosed by hysteroscopy combined with laparoscopy.Treated by hysteroscopy combined with laparoscopy, 48 cases of tubal patency （ 58.5% ）, passable cases were 19 （ 23.2% ）, 15 cases were not passable （ 18.3% ） .All patients were followed up for 6-12 months after treatment of the hysteroscopy combined with laparoscopy, 43 patients were pregnant, and the pregnant rate was 52.4%.Conclusion： The treatnmnt effect of hysteroscopy combined with laparoscopy in the diagnosis and treatment of infertility is significant, and the operation wound is small; patients can quickly recover, the postoperative complications rate is low, and the pregnant rate is higher.To sum up, diagnosis and treatment by hysteroscopy combined with laparoscopy is a safe and effective method to infertility, and is worthy of further popularization and application.