宫腹腔镜联合诊治女性不孕症217例分析

目的:探讨宫腔镜、腹腔镜联合手术治疗女性不孕症的价值。方法:2001年7月～2003年7月应用宫腹腔镜联合手术治疗女性不孕症217例。手术方法有盆腔粘连松解术,输卵管伞端造口术,子宫内膜异位症内凝术,卵巢内膜样囊肿剥除术,多囊卵巢多点电凝打孔术,腹腔镜监护下子宫中隔切除术,宫腔镜下输卵管插管通液术等。结果:217例患者中175例获随访,随访率为80.65%,随访1～36月。术后妊娠67例,其中宫内妊娠58例,异位妊娠9例,流产7例。结论:宫腹腔镜联合手术能在全面检查诊断女性不孕症原因的同时进行手术治疗,具有安全有效、痛苦少、术后康复快等优点。

Laparoscopy combined with hysteroscopy in the treatment of infertility female

Objective:To assess the value of laparoscopy combined with hysteroscopy in diagnosis and treatment of the female infertility.Methods:From July 2001 to July 2003,217 infertile patients were treated by laparoscopy combined with hysteroscopy.The procedures included salpingo-ovariolysis,salpinyostomy,endocoagulation of endometriosis enucleation of endometriotic implants in the ovary,hysteroscopic resection of uterinefibroids and septateuterus.Results:Of the 175 patients followed up in 1～36 months,67 patients got pregnant.Conclusion:Laparoscopycombined with hysteroscopy can not only diagnose the cause of infertility but also cure some patients,it provides a simple and effective way with less injury and quicker recovery.