摘要
目的 探讨宫 -腹腔镜联合手术治疗输卵管性不孕症的效果。方法 对 36例输卵管性不孕的患者 ,同时用宫、腹腔镜联合治疗 ,腹腔镜下行盆腔、输卵管、卵巢周围粘连松解术 ;输卵管伞成形术 ;输卵管造口术 ;盆腔子宫内膜异位症手术 ;中肾管囊肿摘除术 ;宫腔镜下行输卵管疏通术 ;子宫内膜息肉摘除术。结果 36例病人 6 8条输卵管阻塞 5 8条。术后畅通 38条 ,手术成功率 6 5 .5 2 % (38/ 5 8)。近端梗阻 38条输卵管 ,疏通 2 2条 ,疏通成功率 5 7.89% (2 2 / 38)。术后 18例妊娠 ,妊娠率 5 0 .0 % (18/ 36 )。结论 宫、腹腔镜联合使用 ,能明显提高手术的成功率 。
Objective:To analyse the effects of using hysteroscopy combined with laparoscopy in patients with oviduct tube sterility disease.Methods:All of the 36 cases performed under hysteroscopy combined with laparoscopy. Laparoscpic procedures such as pelvic adhesiolysis and salpingo-ovariolysis, inbioplasty, pelvic endometriosis, wolffian dult cyst cystectomy, hysteroscopic procedures such as resection of endometrium polyp.Results:Of all the 36 cases, there are 68 tubes in all, which 58 tubal occlusion have been observed, and 38 tubes unblocked after operation, the incidence of succeed is 65.52%(38/58). The attached end of the 38 tubes are blocked, 22 tubes dredged after operation, the succeed rate is 57.89%(22/38).Eighteen cases pregnant after operation, the pregnant rate is 50.0%(18/36).Conclusions:Hysteroscopy combined with laparoscopy can obviously increase the succeed rate of operation, and worth to extended and applied.
出处
《中国内镜杂志》
CSCD
2003年第10期3-5,共3页
China Journal of Endoscopy
关键词
宫腔镜
腹腔镜
输卵管性疾病
不孕症
Hysteroscopy
Laparoscopy
Fallopian Tubes
Diseases Infertility
