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目的探究宫腹腔镜治疗不孕症的临床效果与价值。方法以长垣县人民医院2012年4月—2014年3月间收治的女性不孕症患者500例为研究对象进行分析,实施宫腹腔镜治疗,总结治疗结果。结果腹腔镜检查结果阳性率88.20%,盆腔粘连51.80%、子宫内膜异位症19.00%与多囊卵巢10.00%是主要病因;宫腔镜检查结果阳性率51.80%,子宫内膜异常17.00%、宫颈或宫腔内良性肿瘤13.00%、输卵管开口异常12.60%是主要病因;术前造影检查与术中符合率为50.89%,有效随访患者352例,受孕率51.70%,双侧输卵管畅通受孕率72.51%显著高于一侧或者双侧不通患者49.64%、22.54%,差异具有统计学意义(P<0.05)。结论宫腹腔镜治疗不孕症效果显著,有助于准确诊断患者宫腔、盆腔病变,提升术后妊娠率,值得临床大力推广应用。
Objective To explore the clinical effect and value of laparoscopy in the treatment of infertility. Methods 500 cases of female infertility patients who were treated in Changyuan People’s Hospital from April 2012 to March 2014 were analyzed, and laparoscopic treatment was performed. The treatment results were summarized. Results The positive rate of laparoscopy was 88.20%, pelvic adhesions was 51.80%, endometriosis 19.00% and polycystic ovary 10.00% were the main causes. The positive rate of hysteroscopy was 51.80%, the degree of endometrium was 17.00% Cervical or intrauterine benign tumors 13.00%, 12.60% of tubal anomalies are the main etiology; preoperative radiography and intraoperative coincidence rate was 50.89%, effective follow-up of 352 patients, the pregnancy rate was 51.70%, bilateral unilateral tubal pregnancy rate was 72.51 % Was significantly higher than 49.64% or 22.54% of patients with unilateral or bilateral incompetence, the difference was statistically significant (P <0.05). Conclusion Laparoscopic treatment of infertility effect is significant, help to accurately diagnose patients with uterine and pelvic lesions, improve postoperative pregnancy rate, it is worth promoting clinical application.