摘要
目的:分析宫腔镜联合腹腔镜在不孕症诊治中的应用及妊娠结局。方法:回顾性分析2003年1月至2008年12月收治的845例女性不孕症患者的临床资料。结果:845例患者中有4例中转开腹,手术成功率99.5%。慢性盆腔炎症是导致女性继发不孕的主要原因,占59.9%;子宫内膜异位症是导致女性原发不孕的主要原因,占48.3%;宫腔镜检查653例(77.6%)为正常宫腔;累计术后成功妊娠446例(53.0%)。结论:腹腔镜联合宫腔镜能快速、准确地明确女性不孕的确切原因及部位,并可采取针对性治疗措施,是目前诊治不孕症的可靠方法。
Objective ：To analyze the application of hysteroscopy combined with laparoscopy in diagnosis and treatment of infertility and the related pregnancy outcome. Methods ：The clinical data of 845 female infertility cases from January 2003 to December 2008 were retrospectively analysed. Results：4 patients were converted to laparotomy with 99.5% achievement rate of operation. Chronic pelvic inflammatory disease is the main reason for the secondary infertility, accounting for 59.9% ;endometriosis is the main reason for female primary infertility,accounting for 48.3%. Normal uterine cavity were checked with hysteroscopy in 653 cases（77.6% ） ; and successful pregnancy cases archived by 446 cases （53. 0% ） after operation. Conclusions：Laproscope combined with hysteroscopy can quickly and accurately define the exact cause of female infertility and sites, and also can execute targeted treatment. Therefore it is the reliable method for infertility di- agnosis and treatment.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2013年第5期380-382,共3页
Journal of Practical Obstetrics and Gynecology
关键词
宫腔镜
腹腔镜
不孕症
妊娠结局
Hysteroscopy
Laparoscopy
Infertility
Pregnancy outcome
