宫腹腔镜联合诊治不孕症的临床分析

目的探讨宫腹腔镜联合应用在女性不孕症诊治中的临床价值。方法选取我院2009年10月至2011年10月收治的不孕症患者86例,均进行宫腹腔镜检查,并对其病因进行相应的治疗。结果 86例不孕症患者中,宫腔镜检查子宫内膜息肉8例,黏膜下子宫肌瘤4例,宫腔粘连3例,不全纵膈子宫2例,腹腔镜检查子宫内膜异位症25例,盆腔粘连50例,多囊卵巢6例,双侧输卵管不通23例,单侧输卵管不通11例,术后妊娠率达32.2%。结论宫腹腔镜联合诊治不孕症患者能够准确、直观、全面地明确不孕症的原因,同时能针对性治疗,提高女性不孕症患者的妊娠率,并给予无法治疗的双侧输卵管不通患者合理建议行IVF,以避免不必要的医疗浪费。

A Clinical Analysis of the Treatment in Infertility by Laparoscopy combined with Hysteroscopy

Objective To research the clinical value of hysteroscopy combined with laparoscopy in dianology and treating women infertility.Method We collected 86 cases of infertility during Octomber,2009 to Octomber,2011 and used laparoscopy combined with hysteroscopy to find out the reasons of infertility and treat them at the same time.Result In 86 cases with infertility,we found 8 cases with endometrical polyps by hysteroscopy test,4 cases with submucous hysteromyomas,3 cases with intraucterine adhesions,2 cases with uterine spetum.We found 25 cases endometriosis,50 cases with pelvic adhesions,6 cases with polycystic ovarian syndrome,23 cases with bilaterally blocked tube,11 cases with unilaterally blocked tube.We found the reseasons and treat them at the same time.We followed up 62 cases and 20 cases had been pregnant in one year.Conclusion We can find the reasons of infertility accurately,directly,roundly and treat them at the same time by laparoscopy combined with hysteroscopy.This can increase the pregnant chance and can suggest reasonably the patients of badly unilateral blocked tube undergoing IVF to avoid the extra medicial west.