宫腹腔镜联合诊治女性不孕症156例临床资料分析

Clinical Data Analysis of Hysterolaparoscopy for the Diagnosis of 156 Patients with Female Infertility

目的探讨宫腹腔镜联合检查在女性不孕症中的临床应用价值。方法对2011年1月至2014年6月行宫腹腔镜联合检查的156例女性不孕患者的临床资料进行回顾性分析,分析不同病因的流行情况。结果腹腔镜检查发现盆腔炎性疾病(58.33%)和子宫内膜异位症(28.85%)是最常见的两个不孕病因;宫腔镜下检查以子宫内膜息肉(36.54%)和纵隔子宫(7.69%)最为常见。14例子宫畸形中,有两例是完全性子宫中隔伴双宫颈双阴道。所有患者术中、术后无并发症发生。结论宫腹腔镜联合检查可帮助明确女性不孕的确切原因及部位,并可同时针对多种病因进行治疗,是目前诊治女性不孕症的安全有效方法。

Objective To evaluate the clinical value of diagnosis of combined hysterolaparoscopy of female infertility. Methods The clinical materials of 156 cases of infertility women received combined hysterolaparoscopy from January 2011 to June 2014 in our hospital were retrospectively analyzed. The prevalence of different lesions was collected. Results Under laparoscope, pelvic inflammatory disease （58.33%） and endometriosis （28.85%） were the most common etiology of female infertility; under hysteroscope, the endometrial polyp （36.54%） and uterine septum （7.69%） were the most common etiology. In 14 patients with malformation uterus, only two cases were complete uterus and double cervical with double vagina. There was no complication in any of our patients. Conclusions Combined Hysterolaparoscopy can help clear the reasons and the location of infertility and aim at a various of pathogenesis treatment, which is a effective and safe tool to diagnose infertility.