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宫腹腔镜联合诊治不孕症68例临床分析 被引量:4

Application of hysteroscope combined with laparoscope in diagnosing and treating patients with infertility
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摘要 目的:探讨宫腹腔镜联合诊治不孕症的临床效果。方法:对本院2005年3月~2008年12月行宫腹腔镜联合诊治不孕症68例与同期单纯行宫腔镜诊治不孕症60例对比,观察两种方法对不孕症的病因检出率及术后妊娠率的影响。结果:联合检查发现病变61例,阳性率为89.7%,单纯宫腔镜检查发现病变38例,阳性率为63.3%,对所有病变分别给予治疗,随访2年,联合组及对照组术后妊娠率分别为39.7%、16.7%,两组比较,差异有统计学意义,P<0.01。结论:宫腹腔镜联合诊治不孕症,诊治一体,病因检出率高,治疗效果好,值得推广。 Objective:To evaluate the value of hysteroscope combined with laparoscope in diagnosing and treating patients with infertility. Methods:The positive rate of discovery, and the pregnancy rate, were discussed for the data of 68 cases with infertility who were diagnosed and treated by using hysteroscope combined with laparoscope(group A) compared to that 60 cases who were diagnosed and treated by using hysteroscope only (group B) collected from Mar. 2005 to Dec. 2008 in our hospital. Results:The positive rate in group A was 89.7 percent among all the 61 cases, while that in group B was 63.3 percent among all the 60 cases. All the patients were treated and followed up the postoperation for 2 years. The pregnancy rate was 39.7 percent in the group A compared to that of 16.7 percent in the group B. There were statistically significant differences between the two methods and groups (P〈0.01). Conclusion:The advantage for combined hysteroscope with laparoscope are less trauma, better treatment effect, and the diagnosis and treatment of both in abdomen and pelvic cavity can be done in the same time, and it is a preferable way of treating patients with infertility.
出处 《中国当代医药》 2010年第16期36-38,共3页 China Modern Medicine
关键词 宫腹腔镜 不孕症 联合诊治 Hysteroscope combined with laparoscope Diagnosis and treating Infertility
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