宫腔镜、腹腔镜联合在不孕症诊治中的应用

目的探讨宫腔镜、腹腔镜联合诊治不孕症的价值。方法联合应用宫腔镜、腹腔镜诊治55例不孕症患者，随访4年，观察妊娠情况。结果在导致女性不孕的常见原因中，输卵管因素是导致女性不孕的主要原因，尤其对继发不孕而言，输卵管因素占47.2%（26/55），明显高于其他因素（P〈0.05）。子宫内膜异位症也是导致女性不孕的重要原因之一，在原发不孕和继发不孕的患者该因素无显著性差异（P〉0.05）。55例患者中累计术后随访4年内总妊娠率54.5%（30/55）。结论宫腔镜、腹腔镜联合手术可明确不孕症病因，在诊断的同时进行治疗，其创伤小、并发症少、安全有效，具有重要的临床应用价值。

Application of combined hysteroscopy and laparoscopy in diagnosis and treatment of infertilitas female

Objective To evaluate the value of combined hysteroscopy and laparoscopy in diagnosis and management of female infertility. Methods Fifty-five cases of female infertility were treated by combined hysteroscopy and laparoscopy and pregnancy rate was observed in 4-year follow-up. Results Salpingo factor was the common cause for female infertility, especially for secondary infertility. There were 47.2% （26/55） cases resulted from salpingo-related factors which were significantly different from other etiological factors （P 〈 0.05 ）. Endometriosis was another major cause for female infertility, but no significant difference was found between primary and secondary fertility （ P 〉 0.05 ）. The total rate of pregnancy was 54.5 % （ 30/55 ） in 55 patients in 4-year follow-up. Conclusion Combined hysteroscopy and laparoscopy can help identify the etiological factors of female fertility and proper surgical intervention can be performed at the same time may har rest a promising results as those in this report.