宫-腹腔镜联合在不孕症诊治中的应用

目的:应用宫-腹腔镜技术,探讨宫-腹腔镜在女性不孕症诊治中的价值。方法:回顾性分析3年间宫-腹腔镜诊治女性不孕症61例临床资料,结果:61例中盆腔粘连16例,输卵管炎12例,宫腔粘连8例,子宫内膜异位症6例,子宫内膜息肉5例,子宫内膜炎5例,多囊卵巢综合症4例,子宫纵隔1例,子宫粘膜下瘤1例,术后妊娠率分别为56.25%,50%,62.5%,83.33%,60%,60%,75%,100%,100%。盆腔粘连,宫腔粘连,输卵管炎,子宫内膜异位症是引起不孕症的主要病因。结论:应用宫-腹腔镜技术能早期,直观,准确地明确不孕症盆腔病因并予以针对性治疗,并在直视下通夜,动态观察输卵管通畅度和形态。大大降低了常规通夜术的假阳性,假阴性率。

Practice of Diagnosis and Treatment of Female Infertility by Hysteroscopy and Laparoscopy

Objective:To study the value of hysteroscopy and laparoscopy in diagnosis and treatment of female infertility.Methods:61 cases of female patients with infertility during three years were analyzed retrospectively.Results:In these patients,16 cases had pelvic adhesion,12 cases had salpingitis,8 cases had uterine adhesion,and 6 cases had endometriosis,5 cases had endometrial polyp,5 cases had endometritis,4 cases had polycystic ovary,1 case had uterus septum,and 1 case had submucous myoma of uterus.The pregnancy ratrs were 56.25%,50%,62.5%,83.33%,60%,60%,75%,100%,100% respectively after laproscopic surgery.Pelvic adhesion,salpingitis,uterine adhesion and endometriosis were the major cause of female infertility.Conclusion: Hysteroscopy and laparoscopy could earlier,directly find out the reason of infertility which caused by pelvis disease,to provide timely therapy,to investigate the shape and the patent of fallopian tube directly dynamic observation,and to reduce the false positive or negative rates of HS.