宫、腹腔镜联合检查在有排卵性不育症中的应用

144例排卵正常的不孕妇女作了宫腔镜、腹腔镜联合检查。112例用于明确诊断,结果发现:宫、盆腔基本正常28例(25%)、盆腔异常58例(51.79%)、宫腔异常12例(10.71%)和宫、盆腔均有异常14例(12.5%);其中68例同时作宫腔镜输卵管插管注染液检查以判定输卵管通畅度。32例腹腔镜监护下作宫腔镜矫治手术,包括:困难的宫腔粘连分离(12例)、不完全子宫纵膈切除术(16例)、子宫内嵌顿的胎儿骨片取出(2例),双侧输卵管间质部息肉摘除和疏通术(2例),对此种检查方法的优点进行了评价和讨论。

LAPAROSCOPY COMBINED WITH HYSTEROSCOPY FOR EVALUATION OF OVULATORY INFERTILE WOMEN

Laparoscopies combined with hysteroscopies were performed in 144 ovulatcry infertilewomen. The results of 112 cases out of 144 are sufficient for diagnosis, they are: normaluterine and pelvic cavities in 28 cases (25%), abnormalities of pelvic cavities in 58 cases(51.79%), abnormatities of uterine cavities in 12 cases (10.71%) and abnormalties ofboth uterine and pelvic cavities in 14 cases (12.5%). In 68 out of 112 cases the hystero-scopic tubal catheterization and chromotubation were done concomitantly for evaluation oftubal patency. In 32 women suffering from infertility or sterility the hysteroseopic intra-uterine surgeries were performed under laparoscopic monitoring, including lysis of severeintrauterine adhesions (12), resection of incomplete intrauterine septa (16), removal ofembedded fetal bones retained in uterine cavity (2 cases), removal of tubal intramuralpolyps and proximal tubal cannulation (2 cases). All the mentioned methods have beenevaluated and discussed.