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宫腹腔镜联合手术诊治不孕症120例分析 被引量:26

Laparoscopy combined with hysteroscopy in the treatment of infertility:a clinical analysis of 120 cases
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摘要 目的探讨宫、腹腔镜联合手术在女性不孕症诊治中的应用优势。方法联合应用宫、腹腔镜对120例不孕症患者进行检查,并对病因明确者行相应治疗。结果盆腔粘连和输卵管阻塞是造成妇女不孕的主要原因。子宫内膜异位症和卵巢疾病也是常见因素。术后妊娠率达43.8%。结论应用宫、腹腔镜联合诊治不孕症患者能直观、准确、全面地明确盆腔、宫腔疾患,并予以针对性治疗,提高手术疏通输卵管的成功率,提高女性不孕患者的妊娠率。 Objective: To evaluate clinical value of hysteroscopy combined with laparoscopy in treating infertility women. Methods: We collected 120 cases of infertility and used hysteroscopy combined with laparoscopy to find out the reasons of infertility, at the same time we tried to treat them. Resuhs : We found the maior reasons of fertility in 120 cases were pelvic adhesion and the obstruction of fallopian tube. The minor reason were endometriosis and ovary de. We treated all 150 cases with hysteroscopy combined with laparoscopy. After operation, the incidence of pregnancy was about 43.8%. Conclusions: Hystemscope combined with laparoseope can determine the causes of infertility directly and accuratly. Therefore corresponding treatment is possible. The combined use of hysteroscope and laparoseope can markedly increase the rate of success of fallopian unobstructed. Thus the therapeutic rate of infertility can be increaseed.
作者 苏敏君 申健
出处 《中国优生与遗传杂志》 2010年第1期122-123,共2页 Chinese Journal of Birth Health & Heredity
关键词 腹腔镜 宫腔镜 不孕症 Hysteroseopy Laparoscopy Infertility
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  • 1Propst AM,Liberman RF,Harlow BL,et al.Complications of hysteroscopic surgery: predicting patients at risk[].Obstetrics and Gynecology.2000
  • 2Castaing N,Darai E,Chuong T,et al.Mechanical and metabolic complications of hysteroscopic surgery: report of a retrospective study of 352 procedures[].Contraception Fertilite Sexualite.1999
  • 3Kivnick S,Kanter M.Bowel injury from roll-ball ablation of the endometrium[].Obstetrics and Gynecology.1992
  • 4Valle RF.Hysteroscopic treatment of partial and complete uterine septum[].International Journal of Fertility and Menopausal Studies.1996

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