摘要
目的探讨宫、腹腔镜联合手术在女性不孕症患者诊治中的应用价值。方法对我院2003年6月～2008年12月收治的120例女性不孕症应用宫、腹腔镜联合诊治的临床资料进行回顾性分析。结果腹腔镜下发现盆腔病变107例,其中盆腔炎症79例,子宫内膜异位症12例,多囊卵巢综合征6例,卵巢囊肿6例,子宫肌瘤3例,盆腔结核1例;宫腔镜下发现宫腔病变13例;宫、腹腔镜下均发现病变5例。治疗后行镜下输卵管插管通液,120例(234条输卵管)不孕症中,术前阻塞92条,通而不畅48条,通畅94条;术后通畅201条,通而不畅18条,阻塞15条,手术疏通率76.4%(107/140)。89例术后随访0.5～1年,已有32例受孕,妊娠率36.0%(32/89),其中宫内妊娠30例,输卵管妊娠2例。结论宫、腹腔镜联合手术,能准确诊断不孕原因,同时治疗宫腔、盆腔及输卵管异常,对女性不孕症患者疗效较好。
Objective To investigate the value of hysteroscopy combined with laparoscopy in diagnosing and treating patients with infertility.Methods Clinical data of 120 cases with infertility,who were treated under hysteroscopy combined with laparoscopy from June 2006 to December 2008,were retrospectively studied.Results By laparoscopy,107 cases of pelvic diseases were found,including 79 cases of pelvis inflammation,12 cases of endometriosis,6 cases of polycystic ovarian syndrome,6 cases of oophoritic cyst,3 cases of hysteromyoma,and 1 case of pelvis phymatiosis.By using hysteroscopy,13 cases of uterine cavity diseases were revealed.Five cases were detected by both laparoscopy and hysteroscopy.Before the operation,totally 234 abnormal fallopian tubes,including 98 tubes of salpingemphraxis,48 partial salpingemphraxis and 94 completely unobstructed,were detected in the patients.After the operation,tubal patency tests showed that the numbers changed into 15,18,and 201 respectively.The patency rate of the surgery was 76.4%（107/140）.In the patients,89 cases were followed up for 0.5 to 1 year,during which 32 women were pregnant（36.0%）including 30 cases of uterine pregnancy and 2 cases of tubal pregnancy.Conclusions Hysteroscopy combined with laparoscopy offers accurate diagnostic evidence and favorable effect in treating the lesions in the uterine cavity,pelvis or tuba uterine in one anesthesia session.
出处
《中国微创外科杂志》
CSCD
2010年第3期214-216,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
宫腔镜
腹腔镜
不孕症
Hysteroscopy
Laparoscopy
Infertility
