宫腹腔镜联合手术诊治不孕症125例分析

目的探讨宫腹腔镜联合手术治疗不孕症的应用价值。方法对125例行官腹腔镜联合手术治疗的不孕症患者进行回顾件分析。结果125例患者中原发不孕者56例，继发不孕者69例。不孕症的主要原因为盆腔粘连（49例，39．2％），子宫内膜异位症（19例，15．2％），卵巢囊肿（17例，13．6％）及子宫内膜息肉（10例，8％）。输卵管复通率为91．21％，术后妊娠率达31．2％。结论宫腹腔镜联合手术能诊断和治疗子宫和输卵管性不孕以及一些卵巢异常，在诊断和治疗女性不孕症中起主要作用。

Clinical analysis of diagnosis and treatment 125 cases of female infertility by laparoscopy and hysteroscopy

Objective To investigate the value of combined use of laparoscopy and hysteroscopy in Treatment of female infertility. Methods This is a retrospective study about 125 cases of female infertility who examined and treated with laparoscopy combined with hysteroscopy. Results There were 56 patients with primary infertility and 69 patients with secondary infertility. The main reason of infertility was pelvic adhesion （49 cases,39. 2% ） , endometriosis （ 19 cases, 15.2% ） , ovarian tumor（ 17cases, 13.6% ） and endometrial polyp （ lOcases,8% ）. The recover rate was 91.21%. The pregnancy rate was 31.2%. Conclusion Hysteroscopy and laparoscopy are diagnosing and treating both uterine and tubal infertility as well as some ovarian abnormalities. They have, thus, the main role in diagnosis and treatment of female infertility.