宫腔镜联合腹腔镜手术诊治不孕症48例临床分析

目的: 探讨宫腔镜腹腔镜手术在不孕症诊断及治疗中的临床应用价值。方法: 为48例不孕症患者行宫腔镜联合腹腔镜手术,对其病因做出诊断,并予以针对性的治疗。结果: 47例检出异常,异常检出率为97.92%,其中输卵管阻塞、积水及因盆腔粘连致输卵管扭曲、不全闭锁31例,余依次为盆腔子宫内膜异位症8例、多囊卵巢3例、子宫内膜息肉2例、纵隔子宫1例、宫腔粘连1例、卵巢良性肿瘤1例。未发生因联合手术而引起的并发症。术后3年内妊娠率为48.5%。结论: 宫腔镜联合腹腔镜手术对诊治不孕症具有重要的临床价值。

Hysteroscopy combined with laparoscopy for treatment of infertility:an analysis of 48 cases

Objective：To evaluate hysteroscopy combined with laparoscopy in diagnosis and treatment of infertility.Methods：Forty-eight patients with infertility underwent hysteroscopy and laparoscopic operation;their etiological factors were diagnosed and pertinently treated.Results：Abnormity was detected in 97.92% of the patient（47/48）.Among them,chronic pelvic inflammatory disease accounted for 31 cases,endometriosis 8 cases,polycystic ovarian syndrome 3 cases,endometrial polyps 2 cases,mediastinum uterus 1 case,intrauterine adhesion 1 case and benign ovarian tumors 1 case.No complications caused by hysteroscopy combined with laparoscopy were found.The pregnancy rate was 48.5% after 3 years.Conclusions：The procedure of combined laparoscopy and hysteroscopy has great value in diagnosis and treatment of the infertility.