宫腔镜联合腹腔镜诊治不孕症108例分析

目的 探讨宫腔镜、腹腔镜联合手术对不孕症患者的诊治价值. 方法 回顾分析宫腔镜-腹腔镜联合手术诊治不孕症患者108例的病因、术后输卵管通畅率及妊娠率. 结果 100例不孕症患者有盆腔异常,其中盆腔炎占58.0%和子宫内膜异位症占28.0%;继发不孕患者中盆腔炎的比例高于原发不孕患者（x2=11.922,P＜0.05）;原发不孕患者中多囊卵巢综合征的比例高于继发不孕患者（x2=5.141,P＜0.05）;子宫输卵管碘油造影与腹腔镜诊断符合率66.4%,假阳性率28.0%,假阴性率4.0%. 结论 宫腔镜-腹腔镜联合检查可早期、明确发现引起原发不孕的原因和病变部位,并能进行相应的治疗,有利于提高妊娠率.

Laparoscopy Combined with Hysteroscopy for the Diagnosis and Treatment patients with Female Infertility

Objective To investigate the value of hysteroscopy combined with laparoscopy in diagnosing and treating patients with infertility. Methods A retrospective analysis of 108 cases with infertile women who had accepted examination and correlative treatment under the combined laparoscopy and hysteroscopy in 5 years was performed. Results By using laparoscopy combined with hysteroscopy,100 cases of pelvic disease(92.5%)were detected in this series.The most common causes of infertility were pelvic inflammation(58.0%)and endometriosis(28.0%).The incidence rate of pelvic inflammation in secondary infertility patientswas significantly higher than in those with primary infertility(x2=11.922,P＜0.05);whereas,the rate of polycystic ovarian syndrome in the secondary infertility cases were significantly lower than the primary cases(x2=5.141,P＜0.05).The diagnostic accordance rate of laparoscopy and hysterosalpingography was 66.4% with a false positive rate of 28.0% and false negative rate of 4.0%. Conclusion The examination by hysteroscopy and laparoscopy could find the reasons of primary infertility as early as possible,but also treat them,which was good for raising the rate of pregnancy.