摘要
目的探讨供精人工授精(AID)3周期不成功患者的宫腹腔镜联合诊疗的诊断意义。方法选择2006年2月～至2009年12月AID3周期及3周期以上不成功患者124例行宫腹腔镜诊断和治疗。结果在124例患者中,宫腔、盆腔无异常15例;子宫内膜异位症50例(Ⅰ期36例,Ⅱ期12例,Ⅲ期2例);盆腔粘连33例(其中轻度炎症17例、中度12例、重度4例);多囊卵巢改变10例;输卵管系膜囊肿25例;多发性子宫肌瘤3例;子宫内膜息肉12例(9例单独存在、3例与子宫内膜异位症合并存在)。结论宫腹腔镜联合诊疗作为AID3周期不成功患者的常规诊疗措施是必要的,有利于诊疗AID前未明确的病变及AID后新增的病变,提高AID的妊娠成功率。
[Objective] To access the significance of combined utilization of hysteroscope and laparoscopy in the diagnosis and therapy of patients failed for 3 AID cycles.[Methods] Choosing 124 patients failed for 3 AID cycles during February 2006 to December 2009,hyteroscope and laparoscopy were performed for the diagnosis and therapy.[Results] In the 124 patients,15 are normal;50 cases suffer from endometriosis（including 36 in stage 1,12 in stage 2,2 in stage 3）;33 with pelvic adhesions（17 with mild inflammation,12 with moderate inflammation and 4 with severe inflammation）;10 cases with polycystic ovary;25 cases with cyst of mesosalpinx;3 cases with multiple myoma;12 subjects with endometrial polyps（9 are single polyps,3 coexist with endometriosis）.[Conclusion] It is necessary for the combined utilization of Hysteroscope and Laparoscopy in the diagnosis and therapy of the patients failed for 3 AID cycles.It is helpful to detect the pathology before or after AID cycles.And it is helpful to increase the pregnant rate in AID cycle.
出处
《中国内镜杂志》
CSCD
北大核心
2011年第6期597-599,共3页
China Journal of Endoscopy
关键词
宫腔镜
腹腔镜
不孕症
供精人工授精(AID)
hysteroscope
laparoscopy
infertility
artificial insemination by donor（AID）
