摘要
目的:探讨腹腔镜与宫腔镜联合手术在不孕症诊断及治疗中的应用价值。方法:对72例不孕症患者施行宫腔镜和腹腔镜联合手术,观察其诊疗效果。结果:盆腔粘连、输卵管因素、子宫内膜异位症及子宫内膜息肉是不孕症的常见原因,宫腔镜、腹腔镜检查在不孕症的病因诊断中优于子宫输卵管造影术(HSG),宫腔镜与腹腔镜联合手术后输卵管通畅率为80.55%,与术前比较差异有统计学意义(P<0.05)。结论:宫腔镜与腹腔镜联合手术能集二者之长,同时进行宫腔、盆腔疾病的诊断和治疗,创伤小、恢复快、手术成功率高,是不孕症重要的检查及治疗手段。
Objective ： To explore the application value of hysteroscopy combined with laparoscopy in diagnosis and treatment of infertility. Methods： 72 cases with infertility underwent hysteroscopy combined with laparoscopy, then the clinical efficacy was observed. Results： The usual causes of infertility included pelvic adhesion, fallopian tube factors, endometriosis and endometrial polyp, hysteroseopy combined and laparoscopy was superior to hystero - salpingograph in etiological diagnosis of infertility, the tubal patent rate after operation was 80. 55% , there was significant difference before and after operation （P 〈 0. 05 ） . Conclusion： Hysteroscopy combined with laparoscopy can diagnose and treat uterine cavity and pelvic cavity simultaneously, with the advantages of little trauma, quick recovery and high success rate, which is a main method in diagnosis and treatment of infertility.
出处
《中国妇幼保健》
CAS
北大核心
2010年第12期1702-1703,共2页
Maternal and Child Health Care of China
基金
广东省东莞市科学技术局项目〔东科[2009]96号〕
关键词
不孕症
腹腔镜
宫腔镜
Infertility
Laparoscopy
Hysteroscopy
