196例不孕症患者宫腹腔镜联合诊治结果分析

目的：探讨非男性因素所致不孕症中宫腹腔镜联合诊治的意义。方法：回顾性分析2008-2011年本院196例非男性因素所致不孕症患者,进行宫腹腔镜联合检查、诊断,术中视不同情况予以相应的治疗的结果。结果：196例患者中,原发不孕73例,其致病因素前三位的是慢性盆腔炎40例（54.79%）,子宫内膜异位症18例（24.66%）,多囊卵巢4例（5.48%）。继发不孕123例,其致病因素前三位的是慢性盆腔炎82例（66.67%）,宫腔粘连16例（13.01%）,子宫内膜异位症14例（11.38%）。术后1~4年随访患者共111例,妊娠50例,妊娠率45.05%。结论：慢性盆腔炎、子宫内膜异位症是不孕症患者最常见的盆腔因素。宫腹腔镜联合手术能集二者之长处,同时进行宫腔、盆腔疾病的诊断和治疗,是不孕症重要的检查和治疗手段。

Analysis on Diagnosis and Treatment of Hysteroscopy Combined Laparoscopy of 196 Cases with Infertility

Objective： To discusses the meaning of diagnosis and treatment of hysteroscopy combined laparoscopy in non-male factor infertility. Method： 196 cases with non-male factor infertility from 2008 to 2011 in the hospital were analyzed retrospectively. All the patients were examined and diagnosed by laparoseopy combined with hysteroscopy, and given treatments due to different situations in operations~ Result： In all of the 196 cases, 73 cases primary infertility, the top three risk factors were chronic pelvic inflammatory disease in 40 cases （ 54.79% ）, endometriosis in 18 cases （ 24.66% ）, polycystic ovary in 4 cases （ 5.48% ） . 123 cases of secondary infertility, the top three risk factors were chronic pelvic inflammatory disease in 82 cases （ 66.67% ）, endometriosis in 16 cases （ 13.01% ）, intrauterine adhesions in 14 cases （ 11.38% ） . 1-4 years follow-up for 111 patients showed that 50 cases were pregnant, the pregnancy rate was 45.05%. Conclusion： Chronic pelvic inflammatory disease and endometriosis are the most common pelvic infertility factors. Laparoscopy combined with hysteroscopy can set their strengths. For diagnosis and treatment for uterine and pelvic disease at the same time, laparoscopy combined with hysteroscopy is an important examination and treatment method for infertility.