摘要
目的探讨宫腹腔镜在诊治盆腔及宫腔内病变引起的女性不孕的应用价值。方法对行宫腹腔镜检查和治疗的68例不孕女性患者的检查结果、治疗方法、术后并发症及受孕情况进行回顾性分析。结果 68例患者经宫腹腔镜检查发现盆腔粘连26例,子宫内膜异位症12例,多囊卵巢8例,子宫息肉或肌瘤6例,子宫纵膈及宫腔粘连各4例,子宫内异物2例,合并以上2种病变者共6例,均给予相应的内镜下治疗;并发症的发生率16.2%;术后1年内总受孕率为75%。结论宫腹腔镜不仅能够直接发现不孕女性患者的子宫及盆腔内病变,并且可同时进行相应治疗,及时祛除不孕病因,使患者受孕。
Objective To explore the values of uteroscope combined with laparoscope in treatment of female infertility caused by pelvic lesions and uterine cavity disease. Methods The results, methods, complications and conceptions of 68 female infertility treated by uteroscope combined with laparoscope were analyzed. Results Among the 68 patients, there were 26 patients with pelvic adhesions, 12 patients with endometriosis,8 patients with polycystic ovaries,6 patients with uterine polypus or myoma,4 patients with septum or intrauterine adhe- sion,2 patients with foreign bodies and 6 patients with 2 lesions. All the lesions above mentioned were treated under endoscope. The complica- tion rate in the 68 patients was 16.8%. The conception rate was 75% after 1 year of treatment. Conclusion The uteroscope combined with laparoscope can not only find out pelvic or uterus lesions which lead to female infertility,but also provide treatment under endoscope.
出处
《局解手术学杂志》
2013年第5期511-512,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
宫腔镜
腹腔镜
不孕
uteroscope
laparoscope
infertility
