| 宫、腹腔镜联合手术在女性不孕症中的应用 |
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| 引用本文： | 李蕾,刘陶,刘静,刘晴. 宫、腹腔镜联合手术在女性不孕症中的应用[J]. 中国微创外科杂志, 2010, 10(3): 214-216 |
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| 作者姓名： | 李蕾 刘陶 刘静 刘晴 |
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| 作者单位： | 首都医科大学附属北京安贞医院妇产科,北京,100029 |
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| 摘 要： | 目的探讨宫、腹腔镜联合手术在女性不孕症患者诊治中的应用价值。方法对我院2003年6月～2008年12月收治的120例女性不孕症应用宫、腹腔镜联合诊治的临床资料进行回顾性分析。结果腹腔镜下发现盆腔病变107例,其中盆腔炎症79例,子宫内膜异位症12例,多囊卵巢综合征6例,卵巢囊肿6例,子宫肌瘤3例,盆腔结核1例;宫腔镜下发现宫腔病变13例;宫、腹腔镜下均发现病变5例。治疗后行镜下输卵管插管通液,120例(234条输卵管)不孕症中,术前阻塞92条,通而不畅48条,通畅94条;术后通畅201条,通而不畅18条,阻塞15条,手术疏通率76.4%(107/140)。89例术后随访0.5～1年,已有32例受孕,妊娠率36.0%(32/89),其中宫内妊娠30例,输卵管妊娠2例。结论宫、腹腔镜联合手术,能准确诊断不孕原因,同时治疗宫腔、盆腔及输卵管异常,对女性不孕症患者疗效较好。
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| 关 键 词： | 宫腔镜 腹腔镜 不孕症 |
Hysteroscopy Combined with Laparoscopy in Diagnosing and Treating Patients with Infertility |
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| Li Lei,Liu Tao,Liu Jing,et al.. Hysteroscopy Combined with Laparoscopy in Diagnosing and Treating Patients with Infertility[J]. Chinese Journal of Minimally Invasive Surgery, 2010, 10(3): 214-216 |
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| Authors: | Li Lei Liu Tao Liu Jing et al. |
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| Affiliation: | Li Lei,Liu Tao,Liu Jing,et al.Department of Obstetrics , Gynecology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China |
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| Abstract: | Objective To investigate the value of hysteroscopy combined with laparoscopy in diagnosing and treating patients with infertility.Methods Clinical data of 120 cases with infertility,who were treated under hysteroscopy combined with laparoscopy from June 2006 to December 2008,were retrospectively studied.Results By laparoscopy,107 cases of pelvic diseases were found,including 79 cases of pelvis inflammation,12 cases of endometriosis,6 cases of polycystic ovarian syndrome,6 cases of oophoritic cyst,3 cases of... |
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| Keywords: | Hysteroscopy Laparoscopy Infertility |
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