| 宫腹腔镜联合治疗不孕症的临床效果分析 |
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| 引用本文： | 杨熠,傅强,陈美一,马利国,邵茵.宫腹腔镜联合治疗不孕症的临床效果分析[J].实用预防医学,2010,17(3):514-516. |
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| 作者姓名： | 杨熠 傅强 陈美一 马利国 邵茵 |
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| 作者单位： | 暨南大学第二临床医学院,深圳市人民医院,妇产科,广东深圳,518020 |
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| 摘 要： | 目的研究宫腹腔镜联合应用治疗不孕症患者的疗效。方法对236例不孕症患者进行宫腹腔镜联合诊治,了解其有无宫腔病变、盆腔病变及输卵管通畅情况,并进行相应治疗。结果236例患者盆腔病变185例,宫腔病变128例;盆腔粘连(46.61%)、子宫内膜异位症(15.25%)是盆腔主要病变;子宫内膜异常(31.35%)是宫腔主要病变。腹腔镜下输卵管通液术与术前子宫输卵管碘油造影(HSG)符合率51.24%。236例患者随访率76.69%,受孕85例,受孕率46.96%。结论联合应用宫腹腔镜明显提高了不孕症诊断的准确性,并可同时实施有针对性的治疗。患者的受孕率跟术后盆腔、宫腔病变治疗效果及输卵管通畅程度有关。
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| 关 键 词： | 宫腔镜 腹腔镜 联合手术 不孕症 |
Clinical Effectiveness of Combined Laparoscopy and Hysteroscopy in Treating Infertility |
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| YANG Yi,FU Qiang,CHEN Mei-yi,et al..Clinical Effectiveness of Combined Laparoscopy and Hysteroscopy in Treating Infertility[J].Practical Preventive Medicine,2010,17(3):514-516. |
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| Authors: | YANG Yi FU Qiang CHEN Mei-yi |
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| Institution: | YANG Yi,FU Qiang,CHEN Mei-yi,et al. (Department of Obstetrics , Gynecology,the People\'s Hospital of Shenzhen,the Second Clinical Medical College of Jinan University,Shenzhen 518020,Guangdong,China) |
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| Abstract: | Objective To evaluate the therapeutic effects of combined hysteroscopy and laparoscopy in treatment of infertility. Methods Totally 236 women with infertility received the treatment of hysteroscopy combined with laparoscopy,the clinical results were analyzed. Results Among 510 women with infertility,185 women had pelvic diseases and 128 had uterine cavity diseases. Pelvic adhesion (46.61%) and endometriosis (15.25%) were the major causes resulted in pelvic diseases. Endometrium abnormality (31.35%) was the ... |
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| Keywords: | Hysteroscopy Laparoscopy Combined surgery Infertility |
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