摘要
目的探讨宫腹腔镜联合诊治先天性子宫畸形的价值。方法回顾性分析合并不孕不育的经宫腹腔镜联合诊治的先天性子宫畸形患者37例。结果27例为纵隔子宫,在子宫畸形中发生率最高,占73.0%,4例双子宫,2例单角子宫,2例残角子宫,1例鞍状子宫,1例双角子宫。B超、宫腔镜诊断子宫畸形均有一定的误诊率。盆腔并发症中以子宫内膜异位症发生率最高,占43.2%,盆腔粘连发生率占40.5%。宫腹腔镜联合手术同时诊治子宫畸形及导致不孕不育的因素。结论宫腹腔镜联合手术可作为子宫畸形合并不孕不育妇女理想的诊治手段。
[ Objective ] To explore the palace of hysteroscopy laparoscopy combined with diagnosis and treatment of congenital uterine malformation. [ Method ] Retrospective analysed the merger of infertility diagnosis and treatment by the Palace of hysteroscopy laparoscopy combined with the 37 cases of congenital uterine malformation. [ Results ] 27 cases for the septate uterus, in the incidence of uterine malformation in the highest, accounting for 73.0%, four cases of uterus didelpys, two cases of uterus unicornis, two cases of rudimentary horn of uterus, 1 case of uterine saddle, one cases of uterus bicorns. B ultrasound, hysteroscopy diagnosis of uterine malformations have a certain degree of misdiag- nosis rate. Complications of pelvic endometriosis in the incidence of the highest, accounting for 43.2%, the incidence of pelvic adhesions accounted for 40.5%. Hysteroscopy combined laparoscopic surgery at the same time palace of the di- agnosis and treatment of uterine malformations and result in infertility factor. [ Conclusion] Hysteroscopy and laparo- scopic surgery can be used as the merger of infertility diagnosis and treatment of infertility.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第1期82-84,共3页
China Journal of Endoscopy
关键词
宫腔镜
腹腔镜
子宫畸形
不孕症
hysteroscopy
laparoscopy
uterine malformation
infertility
