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目的:探讨宫腹腔镜联合治疗不孕症的临床观察及治疗。方法:对就诊的不孕症患者,经子宫输卵管碘油造影(HSG)诊断输卵管性不孕患者82例,行宫、腹腔镜联合检查、治疗。结果:镜下通液与HSG结果比较,总符合率为75.1%。82例不孕症中,输卵管积水和输卵管伞端粘连腹腔镜下复通成功率92.4%。输卵管近端阻塞宫腔镜下复通成功率为88%。结论:宫腹腔镜联合检查、治疗输卵管性不孕,能全面准确地诊断输卵管病变,可避免单独使用宫腔镜、腹腔镜的局限性,互相弥补不足,创伤小,安全,值得临床推广。
Objective: To investigate the clinical observation and treatment of hysteroscopy combined with laparoscopy in the treatment of infertility. Methods: 82 cases of tubal infertility were diagnosed as infertility patients by hysterosalpingography (HSG), and examined by line and laparoscopy. Results: Compared with HSG, the total coincidence rate was 75.1%. 82 cases of infertility, tubal hydrops and tubal adhesions laparoscopic success rate of 92.4%. The success rate of proximal tubal obstruction hysteroscopic recanalization was 88%. Conclusions: Hysteroscopy combined with laparoscopy for the treatment of tubal infertility can diagnose tubal lesions comprehensively and accurately, which can avoid the limitations of hysteroscopy and laparoscopy alone, make up for each other, reduce trauma and safety, which is worthy of clinical promotion.