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宫腹腔镜检查在不孕症中的应用 被引量:1

The application of aysteroscope and hysteroscope to infertility
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摘要 目的:不孕症不是一种独立的疾病,有多方面因素会导致不孕。本文就不孕症在宫腹腔 镜检查下的表现进行探讨.方法;78例不孕症患者在腹腔镜检查及直视下通液,宫腔镜检查及直视下 插管通液;结果:78例患者中,原发不孕占48例,继发不孕占30例,腹腔镜检查不孕的首要原因为盆 腔子宫内膜异位在占65.4%,次要原因盆腔炎症占11.5%。宫腔镜检查有5例异常,占6.4%。腹腔镜 直视下通液不通的患者有5例9条输卵管,进一步作宫腔镜直视下插管通液示5条通畅,4条通而不 畅.结论:宫腹腔镜检查能精确判断内生殖器官病变的性质和程度,同时可作一些镜下治疗:如囊肿穿刺抽液。宫腔镜直视下插管通液既可明确输卵管的通畅性,又可起到治疗作用。 Objective:Infertility is not a solitary disease and results from many factors. The aim of this study was to investigate the exhibit of patient with infertility by laparoscopy and agsteroscope. Method: There were 78 women with infertility who were examined and poured normal saline into their fallopians under laparoscopy,and aysterscope. Result:In 48 of 78 cases suffered from primary infertility and the others 30 cases were due to secondary. The first cause of infertility was endometriosis (65.4% ) and the second was pelvic inflammatory disease (11.5 % ) with laparoscopy. However, only 5 of 78 cases were abnormal with aysteroscope, approximately 6.4%. The 9 fallopians of the five patients presented block by pouring normal saline into its under laparoscopy. But there were only 4 fallopians were partly obstructed and the othey five were unobstructed by same method under aysteroscope. Conclusion:We may accurately judge the character and degree of interiororgan of generation disease and treat them simultaneously by asysteroscope,for example,ovariostomy. we are not only determine whether the fallopian is open,but also we can cure the disease at the same time.
作者 江平 高湘
出处 《河北医学》 CAS 2000年第3期197-200,共4页 Hebei Medicine
关键词 不育症 诊断 宫腹腔镜 Aysteroscope Hysteroscope Infertility
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参考文献3

  • 1朱桂金,罗丽兰,万轩金,章汉旺,林华.腹腔镜和宫腔镜在不孕症诊治中的应用[J].中国实用妇科与产科杂志,1993,9(4):224-226. 被引量:24
  • 2王淑珍主编.实用妇产科学[M].第一版.北京:人民卫生出版社.1987.754.
  • 3高琴.子宫内膜异位症与不孕[J].实用妇产科杂志,1987,3(4):201-201.

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