宫腔镜冶疗不孕症的应用

Application of hysteroscopy in infertility

目的:探讨宫腔镜在治疗宫腔内因素及输卵管开口堵塞引起不孕的疗效。方法:首先对阴道B超及碘油造影提示宫内异常及输卵管近端梗阻的不孕患者,进行宫腔镜检查,对有异常的患者行宫腔镜下手术及宫腔镜下输卵管插管通液。结果:115例宫腔内因素致不孕的患者经治疗后,妊娠87例,妊娠率75.65%;27例双侧输卵管梗阻患者中,24例双侧获通,术后再通率88.88%,其中8例妊娠,妊娠率33.33%。结论:宫腔镜手术及宫腔镜下输卵管插管治疗不孕具有可视、微创、输卵管再通率高、可提高妊娠率的优点。

Objective:To investigate the hysteroscopy in the treatment of intrauterine and tubal factor infertility caused by the opening of the effects plug. Methods:The first B-vaginal and intra-uterine lipiodol angiography prompted abnormal proximal tubal obstruction and infertility, hysteroscopy carried out on patients with abnormal hysteroscopic surgery and hysteroscopic tubal cannulation pass liquid. Results:115 cases of infertility caused by intrauterine factors in patients after treatment, 87 cases of preg-nancy, pregnancy rate of 75.65%; 27 cases of patients with bilateral tubal obstruction, 24 cases were bilateral pass, after recanalization rate of 88.88%, eight cases in which pregnancy, pregnancy rate of 33.33%. Conclusion:Hysteroscopy and hysteroscopic surgical treatment of tubal infertility intubation with visualization, minimally invasive, fallopian tube recanalization rate, can increase the benefits of pregnancy.