| 宫腹腔镜联合手术治疗不孕症102例疗效观察 |
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| 引用本文： | 胡卫红,黄柱安,梁笑梅,潘成荣.宫腹腔镜联合手术治疗不孕症102例疗效观察[J].中国基层医药,2011,18(12):1651-1653. |
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| 作者姓名： | 胡卫红 黄柱安 梁笑梅 潘成荣 |
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| 作者单位： | 东莞市商埗医院妇产科,广东省东莞,523270 |
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| 摘 要： | 目的 探讨应用宫、腹腔镜联合手术在治疗不孕症的作用.方法 回顾性分析102例采用官腔镜联合腹腔镜手术诊治的女性不孕症患者的临床资料.结果 102例不孕症患者中盆腔粘连及输卵管阻塞57例,子宫内膜异位症24例,多囊卵巢综合征12例,子宫内膜息肉4例,子宫肌瘤3例,子宫纵隔2例,不孕原因居前3位依次是盆腔粘连及输卵管阻塞（55.88%）、子宫内膜异位症Ⅰ-Ⅱ期（23.53%）、多囊卵巢综合征（11.76%）.手术后妊娠42例,妊娠率41.18%,其中发生异位妊娠3例（7.14%）,自然流产4例（9.52%）.结论 宫、腹腔镜联合手术对女性不孕症的治疗具有重要的价值,能明显提高手术效果,显著改善该类病症造成不孕的结局,值得推广应用.
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| 关 键 词： | 宫腔镜 腹腔镜 不孕症 妊娠 |
Clinical observation on the effect of hysteroscopy combined with laparoscopy in treatment of 102 patients with infertility |
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| HU Wei-hong,HUANG Zhu-an,LIANG Xiao-mei,PAN Cheng-rong.Clinical observation on the effect of hysteroscopy combined with laparoscopy in treatment of 102 patients with infertility[J].Chinese Journal of Primary Medicine and Pharmacy,2011,18(12):1651-1653. |
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| Authors: | HU Wei-hong HUANG Zhu-an LIANG Xiao-mei PAN Cheng-rong |
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| Institution: | HU Wei-hong(Department of Obstetrics and Gynecology, Gaobu Hospital of Dongguan, Dongguan, Guangdong 523270, China) HUANG Zhu-an(Department of Obstetrics and Gynecology, Gaobu Hospital of Dongguan, Dongguan, Guangdong 523270, China) LIANG Xiao-mei(Department of Obstetrics and Gynecology, Gaobu Hospital of Dongguan, Dongguan, Guangdong 523270, China) PAN Cheng-rong(Department of Obstetrics and Gynecology, Gaobu Hospital of Dongguan, Dongguan, Guangdong 523270, China) |
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| Abstract: | Objective To investigate the role of hysteroscopy combined with laparoscopy in treatment of infertility.Methods 102 patients with infertility treated by hysteroscopy combined with laparoscopy were retrospectively analyzed.Results Of 102 cases of infertility,there were 57 cases with Pelvic adhesions and tubal obstruction,24 cases with endometriosis,12 cases with polycystic ovary syndrome,4 cases with endometrial polyp,3 cases with hysteromyoma and 2 cases with uterus septum.The first three cases were chronic pelvic inflammatory with salpingemphraxis ( 55.88% ), endometriosis Ⅰ -Ⅱ (23.53% ) and polycystic ovary syndrome (11.76% ).The postoperative pregnancy rate was 41.18%, 3 patients with ectopic pregnancy (7.14%) and 4 spontaneous abortion (9.52%).Conclusion Laparoscopy with hysteroscopy played an important role in treatment of infertility.It was an effective method and worthy to be widely used. |
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| Keywords: | Hysteroscopy Laparoscopy infertility Pregnancy |
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