宫腔镜联合腹腔镜检查诊治不孕症的临床分析

目的 研究与分析宫腔镜联合腹腔镜检查诊治不孕症的方法以及临床应用价值.方法 选择80例不孕症患者进行检查,对其行宫腔镜联合腹腔镜检查与诊治,观察患者的妊娠情况.结果 在接受检查的80例患者当中,多囊卵巢综合征约占14％,作为不孕症的第2病因的子宫内膜异位症约占27％,这两种病症,原发性不孕患者的发病率要比继发性不孕发病率高(P＜0.05)；另一方面,作为不孕症发病的第1位病因,慢性盆腔炎约占57％,而其具有较高的继发不孕发病率(P＜0.05).在诊治后,患者的妊娠率大约为45％,其中出现异位妊娠情况的患者2例.结论 采用宫腔镜联合腹腔镜的方法检查以及诊治不孕症,有利于明确患者患有不孕症的确切病因.

clinical analysis of Hysteroscopy combined with laparoscopy in diagnosis and treatment of infertility

OBJECTIVE To research and analyze the hysteroscopy combined with laparoscopy in diagnosis and treatment of infertility methods and clinical application value.METHODS 80 cases with infertility patients were examined,and hysteroscopy combined with laparoscopy was used for diagnosis and treatment.We observed the status of patients with pregnancy.RESULTS Among 80 patients,polycystic ovary syndrome accounted for about 14%,as the second cause of infertility in endometriosis accounted for about 27%.The morbidity of primary infertility patient was higher than secondary infertility(P﹤0.05);On the other hand,as the the pathogenesis of first etiologies of infertility,the chronic pelvic inflammatory disease accounted for about 57%,which had a higher incidence of secondary infertility(P﹤0.05).In the medical treatment,patients with the pregnancy rate was 45%,which appeared in 2 cases of patients with ectopic pregnancy cases.CONCLUSION The hysteroscopy combined with laparoscopy methods could diagnose and treat infertility,and clear the exact etiology in patients suffering from infertility.