宫腹腔镜联合诊治有排卵性不孕症

目的：阐明宫腹腔镜联合在诊治有排卵性不孕症中的价值。方法：对140例有排卵性不孕症的妇女实施宫腹腔镜联合手术，比较其与单独的宫腔镜或腹腔镜检查在病因诊断上的符合率，记录手术时间、术后并发症、住院天数，随访术后妊娠情况。结果：宫腹腔镜联合手术对盆腔、宫腔病变情况的诊断正确率明显优于单独的宫腔镜或腹腔镜检查，具有手术时间短、创伤小、术后恢复快、病人容易接受、妊娠率较高等优点。结论：宫腹腔镜联合是目前诊治有排卵性不孕症的首选方法，它可治愈部分患者，更为是否接受辅助生育技术提供了可靠的依据。

Laparoscopy Combined With Hysteroscopy Applied to Diagnose and Treat the Ovulatory Infertile Female

Objective To assess the value of laparoscopy combined with hysteroscopy in the diagnosis and treatment of the ovulatory infertile female.Methods From Jan 2000 to May 2001, 140 ovulatory infertile patients were investigated and treated by laparoscopy combined with hysteroscopy. Findings of both the laparoscopy and hysteroscopy were compared with those of hysteroscopy alone and laparoscopy alone. Operative time, postoperative complications and days of hospitalization were recorded. Postoperative pregnancy outcomes were followed-up.Results This study demonstrates that combination of laparoscopy and hysteroscopy was superior to hysteroscopy alone and laparoscopy alone in the diagnosis of the ovulatory infertile female. It is short-time consumed, less traumatic, rapidly recovered. The postoperative pregnancy outcomes were satisfactory.Conclusions Laparoscopy combined with hysteroscopy is recommended as the primary precedure to the diagnosis and treatment of the ovulatory infertile female currently. It can cure some patients and provide reliable answer to whether assisted reproductive technique is needed as well.