摘要
目的:通过对宫腔镜联合腹腔镜手术治疗不孕症的临床分析,探讨其在诊断与治疗不孕症方面的价值。方法:在通过宫腔镜联合腹腔镜探查的基础上,对284例不孕症患者进行对症下药,展开相应的治疗。结果:284例患者中子宫因素68例,输卵管因素190例,盆腔粘连122例,卵巢因素60例。术后随访的130例患者妊娠率超过27.69%,伞部及壶腹部阻塞术后再通率为84.71%,在术后随访的130例患者,其妊娠率为28.0%,不存在输卵管阻塞患者的妊娠率为45.0%,同输卵管阻塞患者妊娠率的20.0%相比,差异有统计学意义(P<0.05)。结论:宫腔镜联合腹腔镜手术治疗不孕症,尤其是对于盆腔粘连和输卵管远端阻塞不孕患者而言,是非常好的检查和治疗手段。
Objective： To explore effect of hysteroscopy combined with laparoscopy for infertility.Methods： A total of 284 infertile patients received therapy under hysteroscopy combined with laparoscopy.The efficacy was observed and analyzed.Results： There were 68 cases caused by uterine factors,190 cases by tubal factors,122 cases by pelvic adhesions,and 60 cases by ovarian factors.Postoperative follow-up of 130 patients showed pregnancy rate was over 27.69%,recanalization rate was 84.71% at umbrella and ampullary,which was significantly higher than that at interstitial and isthmus（7.14%,15.00%,respectively）（P0.05）.The total pregnancy rate was 28%,and 45% in patients without tubal obstruction,significantly higher than that of patients with blocked fallopian tubes（20%）（P0.05）.Conclusions： Surgery under hysteroscopy and laparoscopy is effective in treating infertility.It is helpful tool for examination and treatment,especially for patients with pelvic adhesions and distal tubal obstruction.
出处
《海南医学院学报》
CAS
2012年第6期840-841,845,共3页
Journal of Hainan Medical University
基金
中国高校医学期刊临床专项资金项目(112210206)~~
关键词
不孕症
宫腔镜
腹腔镜
Infertility
Hysteroscopy
Laparoscopy
