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宫腹腔镜联合诊治女性不孕症500例临床分析
引用本文:郭政,王丽英,李华.宫腹腔镜联合诊治女性不孕症500例临床分析[J].中国妇幼保健,2011,26(34):5388-5390.
作者姓名:郭政  王丽英  李华
作者单位:1. 山西中医学院中医系妇产科教研室,山西,太原,030024
2. 山西现代女子医院妇产科
摘    要:目的:探讨宫、腹腔镜联合检查在女性不孕症中的诊治价值。方法:对2008年1月~2009年12月500例女性不孕症的宫、腹腔镜联合检查结果进行回顾性分析。结果:宫、腹腔镜检查发现盆腔异常445例,占89.0%。女性不孕症的主要原因依次为慢性盆腔炎(58.6%)、多囊卵巢综合征(18.0%)、子宫内膜异位征(14.0%)。继发性不孕症中,慢性盆腔炎的构成比高于原发不孕(χ2=8.60,P<0.01),多囊卵巢综合征的构成比低于原发不孕(χ2=17.02,P<0.01)。盆腔粘连松解术、输卵管伞端成形及造口术、卵巢打孔术、内异症电灼术为主要术式。结论:宫、腹腔镜联合检查可明确女性不孕的原因,并针对病因实施相应的微创手术治疗,两种微创手术优势互补,是目前诊治女性盆腔因素不孕症的最佳方法。

关 键 词:不孕症  宫腔镜  腹腔镜

Clinical analysis on 500 infertile women diagnosed and treated with hysteroscopy combined with laparoscopy
GUO Zheng,WANG Li-Ying,LI Hua.Clinical analysis on 500 infertile women diagnosed and treated with hysteroscopy combined with laparoscopy[J].Maternal and Child Health Care of China,2011,26(34):5388-5390.
Authors:GUO Zheng  WANG Li-Ying  LI Hua
Institution:GUO Zheng,WANG Li-Ying,LI Hua.Teaching and Research Section of Gynecology and Obstetrics,Department of Traditional Chinese Medicine,Shanxi University of Traditional Chinese Medicine,Taiyuan 030024,Shanxi,China
Abstract:Objective:To explore the value of laparoscopy combined with hysteroscopy in diagnosis and treatment of women with infertility.Methods:The results of 500 infertile women receiving hysteroscopy combined with laparoscopy from January 2008 to December 2009 were analyzed retrospectively.Results:445 women were found with pelvic abnormality by hysteroscopy combined with laparoscopy,accounting for 89.0%.The main causes of female infertility were chronic pelvic inflammatory disease(58.6%),polycystic ovary syndrome(1...
Keywords:Infertility  Hysteroscope  Laparoscopy  
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