宫腹腔镜联合手术治疗输卵管性不孕症临床效果分析

目的探讨电视宫腹腔镜联合手术治疗输卵管性不孕症诊断和治疗价值。方法回顾分析2007年5月-2011年12月78例输卵管性不孕症患者采用宫腹腔镜联合治疗的临床资料。在腹腔镜下行盆腔粘连分离、输卵管整形、造口术、异位病灶电灼术等,利用宫腔镜直接观察宫腔内膜及输卵管开口,在直视下行输卵管插管。术后随访受孕情况。结果术中诊断输卵管周围炎33例;输卵管卵巢周围炎30例;输卵管积水15例;其中50例是由盆腔炎所致,28例由盆腔子宫内膜异位症所致。术后受孕率:输卵管和卵巢周围炎为42.9%(27/63);输卵管积水为20%(3/15)。结论宫腹腔镜联合手术治疗输卵管不孕症患者既能明确病因同时又能治疗,手术安全,输卵管复通率高,术后妊娠率明显改善。

The Value of Hysteroscope and Laparoscope in the Diagnosis and Treatment of Infertility Caused by Fallopian Tube Factors

Objective To study the value of laparoscope and hysteroscope in the diagnosis and treatment of infertility caused by fallopian tube factors.Methods The clinical data of 78 cases infertility women caused by fallopian tube factors diagnosed and cured by hysteroscopy and laparoscopy was analyzed retrospectively.78 cases infertility women were studied in terms of adhesiolysis,fallopian tube plasty,fenestration,and endometyiosis lesions electrocautery.Hysteroscopy was used observe the endometrium and fallopian tube openings directly,tubal cannulation was done under directvision.The pregnancy rate was followed up.Results It was found that there were 33 cases of fallopian tube inflammation,30 cases of inflammation of tube and overy and 15 cases of hydrosalpingix.Of the 3 kinds,pelvic inflammation was found to be responsible for 50 cases,pelvic endometriosis for 30 cases.The pregnancy rate was 42.9%(3/15) for inflammation of fallopian tube and ovary,20%(3/54) for hydrosalpingix.Conclusion Hysteroscopy and Laparoscopy can safely diagnosis and treat infertility caused by fallopian tube factors,and to improve the recanaliztion rate of oviduct and postoperative pregnancy rate.