宫腹腔镜联合手术诊治不孕症150例分析

目的:探讨宫腹腔镜联合手术在诊治不孕症中的应用。方法:对150例不孕症患者行宫腹腔镜联合手术,对不孕症病因进行诊断,同时行治疗。结果:盆腔粘连和输卵管阻塞是不孕症的主要原因。子宫内膜息肉和正常盆腔占次要比例。子宫内膜异位症和多囊卵巢也是主要病因。150例同时行宫腹腔镜输卵管通液和各种疾病的治疗。联合手术后妊娠率为48.8%。结论:腹腔镜联合手术,在一次麻醉下,可以对不孕的原因全面评价和明确诊断,在诊断同时进行治疗,对不孕症的诊断和治疗有重大的意义,值得推广。

Laparoscopy combined with hysteroscopy in the treatment of infertility :a clinical anlysis of 150 cases

Objective:To evaluate clinical value of hysteroscopy combined with laparoscopy in treating infertility women.Methods:During 1997-2005 we collected 150 cases of infertility and used hysteroscopy combined with laparoscopy to find out the reasons of infertility,at the same time we tried to treat them.Results:We found the maior reasons of fertility in 150 cases were pelvic adhesion and the obstruction of fallopian tube.The minor reasons were uterine polyps and normal pelvis,as well as endometriosis and ovary tumor.We treated all 150 cases with hysteroscopy combined with laparoscopy.After operation,the incidence of pregnancy was about 48.8%.Conclusions:Under hysteroscopy combined with laparoscopy the reasons of fortility can be diagnosed and evaluated under one anesthesia,at the same time patients can alss be treated.This kind of procedure is valuable and should be encouraged to be performed.