宫腹腔镜联合诊治不孕症临床分析

【目的】分析宫腹腔镜诊治不孕症的临床作用。【方法】对2008年1月-2009年12月因不孕症就诊于我院行宫腹腔镜联合手术的800例患者临床资料进行回顾性分析。【结果】术中发现614例（76．8％，614／800）存在盆腔粘连，输卵管不通及通而不畅共计输卵管1440条（90．0％，1440／1600），输卵管积水151条（18．9％，151／1600），子宫肌瘤、子宫内膜异位症、多囊卵巢患者分别为102例（12．7％，102／1600）、82例（10．2％，82／800）、51例（6．4％，51／800），内生殖器畸形患者63例（7．9％，63／800），宫腔镜检查内膜息肉患者58例（7.3％，58／800），宫腔粘连患者5例（0．6％，5／800），子宫纵膈患者35例（4．4％，35／800），累计术后妊娠416例（52．0％，416／800）。【结论】输卵管因素及盆腔粘连是不孕症的主要原因，宫腹腔镜手术可以直接观察盆腹腔及宫腔情况，明确不孕病因，疗效确切，是诊断和治疗不孕症较为有效的方法。

Clinical analysis on the diagnosis and treatment of infertility combined with hysteroscopy and laparoscopy

[Objective]To analyze the clinical application of hysteroscopy combined with laparoscopy in the diagnosis and treatment of infertility and the related pregnancy outcome. [Methods] The clinical data of 800 female infertility cases （from January 2008 to December 2009） were analyzed respectively. [ Results] Among 800 cases, 614 cases were pelvic adhesions, 1 440 fallopian tubes were obstructed, 151 cases were hydrosalpinx, 102 cases were hysteromyoma, 82 cases were endometriosis, 51 cases were polyeystie ovary, 63 cases were genital malformations. Hysteroseopy found 58 cases with endometrialpolyp, 5 cases with intrauterine adhesions, 35 cases with uterine septum. 416 cumulatively cases were pregnancy after treatment. [Conclusions] Obstructed fallopian tubes and pelvic adhesions are the main causes of infertility. Hysteroscopy combined with laparoscope could investigate the characteristics of pelvic and abdominal cavity, find out the causes of infertility, with obvious curative effect, and is be an effective method to diagnose and treat