摘要
目的探讨宫腹腔镜联合诊治不孕症在临床中的价值及意义。方法2001年4月￣2004年5月该院从172例已行传统B超+HSG+诊刮检查的不孕症病例中随机选择82例进一步行宫腹腔镜联合诊治(联合组),余90例作为对照(对照组),观察两种检查方法的阳性检出率、诊断准确率和两组术后妊娠率。结果联合镜检法发现病变72例,阳性率87.80%,其中11例有两种以上病变,占13.40%;传统法发现病变32例,阳性率39.02%,其诊断准确率为43.80%。对所有病变术中同时给予治疗,成功率95.83%,经随访2年,联合组及对照组术后妊娠率分别为32.90%和2.35%,两种方法及两组效果比较差异有显著性(P<0.01)。结论宫腹腔镜联合用于不孕症,集检查治疗为一体,一次手术即可完成宫腔内及盆腔的检查及治疗,直观,准确,全面,疗效可靠,损伤轻,有较高应用价值,值得临床推广。
[Objective] To investigate the value of combined hysteroscope with laparoscope in diagnosing and treating patients with infertility. [Methods] 172 cases with infertility during Apr. 2001 to May. 2005 were randomized divided into two groups. The cases in Group A （n =82） were diagnosed and treated under combined hysteroscope with laparoscope and those in group B （n =90 ） undergoing supersonic examination and hysterosalpingography （HSG） as well as curettage. The positive rate of discovery, the accuracy rate of diagnosis and the pregnancy rate were compared. [Results] The positive rate in combined hysteroscope with laparoscope group and Bus ＋HSG ＋curettage group was respertlvely 87.80%（72/82） and 39.02% （32/82）, 13.4%（11/82） patients had two pathologic change by combined hysteroscope with laparoscope, 43.80% the accuracy rate of diagnosis in B-us ＋ HSG＋curettage All potholoyic change operation, success rate of 95.83%, all cases were followed up postoperaticely for 2 year. The pregnancy rate respectirely A （32.90%）and B （2.35%）. There were statistically significant differences between the two methods and groups （P 〈0.01）. [Conclusions] The advantage of combined hysteroscope with laparoscope are less trauma, better effect of treatment, diagnosis and treatment of both in abdomen and pelvic cavity can be done in one time, which should be a preferable way of treating patients with infertility.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第11期1193-1195,共3页
China Journal of Endoscopy
关键词
宫腹腔镜
联合诊治
不孕症
hysteroscope combined with laparoscope
diagnosis and treating
infertility
