宫腹腔镜联合诊治输卵管阻塞性不孕症临床分析

目的:探讨宫腔镜和腹腔镜联合诊治输卵管阻塞性不孕症的价值。方法:回顾分析我院38例经子宫输卵管碘油造影提示双侧输卵管阻塞的不孕患者经宫、腹腔镜联合诊治的情况。结果:宫、腹腔镜检查6条输卵管缺如,70条输卵管中46条阻塞,中远段阻塞30条,近中段阻塞16条,24条通畅;输卵管碘油造影假阳性率34.3%;宫、腹腔镜联合疏通41条输卵管,切除2条输卵管,3条输卵管行吻合术,术后1个月行输卵管通液提示输卵管通畅。随访6～9个月,30例怀孕,受孕率78.9%。结论:宫腔镜与腹腔镜联合检查并手术对输卵管阻塞性不孕是最理想的诊治策略。

Application of hysteroscopy and laparoscopy in the diagnosis and treatment of infertility caused by fallopian tube factors

Objective:To study the value of hysteroscopy and laparoscopy in the diagnosis and treatment of infertility caused by fallopian tube.Methods:Examinations and operations by hysteroscopy and laparoscopy were performed in 38 cases of infertility caused by fallopian tube diagnosed by HSG.Results:46 of 70 fallopian tubes examined by hysteroscopy and laparoscopy tubes were blocked,30 of them were middle-far part blocked,16 of them were near-middle part blocked,24 fallopian tube work positively well.The false positive rate of HGS examinations was 34.3%,41 fallopian tubes were successfully recanalized,2 fallopian tubes were cut,3 fallopian tubes were combined.Followed up for six-nine months,there were 30 pregnancies,with the rate of pregnancy 78.9%(30/38).Conclusion:Hysteroscopy combined laparoscopy may be effectively used in the diagnosis and treatment of infertility caused by fallopian tube factors.