应用宫腹腔镜诊治不孕症71例分析

COMBINED LAPAROSCOPY AND HYSTEROSCOPY IN THE DIAGNOSIS AND THERAPY OF THE FEMALE INFERTITY: CLINICAL ANALYSIS OF 71 CASES

该文对 71例不孕症的盆腔疾病病因诊治进行分析 ,结果 71例全部明确不孕病因 ,并针对病因进行治疗。盆腔粘连、子宫内膜异位症和输卵管炎是引起不孕的主要原因。除子宫内膜异位症外 ,原发不孕中以多囊卵巢、子宫发育畸形为多见 ;继发不孕中 ,有宫腔操作史 35例 ,占 83%。结论 :应用宫腹腔镜联合诊疗技术 ,可以对不孕症、盆腔疾病作出明确病因诊断 ,并可在直视下通液 ,以观察输卵管形态 ,从而进一步作出相应治疗和预后的判断。

Objective:Combined laparoscopy and hysteroscopy in the diagnosis and therapy of the female infertity is and advanced means in the gynecologcial field.We analysed the causes and the treatments of the 71 infertile patients.Pelvic adhesions,endometrosis and salpingtis were the main causes of infertity in our 71 cases.Of 71 cases,29 cases were primary infertity,in whichc endometriosis,PCOS and anatomic uterine defect were the main causes,and 42 cases were secondary infertity,in which 35 cases (83%) had previous intrauterine operations.All the patients were treated for the causes.We concluded that combined laparoscopy and hysteroscopy can diagnose the causes of infertity and can observe the tubal patency by hysteroscopic tubal cathertetization and hydrotubation,which will direct the treatments and estimate the results of the therapy.Methods:Infertity;Combined Laparoscopy and Hysteroscopy.