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目的:应用宫-腹腔镜技术,探讨宫-腹腔镜在女性不孕症诊治中的价值。方法:回顾性分析3年间宫-腹腔镜诊治女性不孕症61例临床资料,结果:61例中盆腔粘连16例,输卵管炎12例,宫腔粘连8例,子宫内膜异位症6例,子宫内膜息肉5例,子宫内膜炎5例,多囊卵巢综合症4例,子宫纵隔1例,子宫粘膜下瘤1例,术后妊娠率分别为56.25%,50%,62.5%,83.33%,60%,60%,75%,100%,100%。盆腔粘连,宫腔粘连,输卵管炎,子宫内膜异位症是引起不孕症的主要病因。结论:应用宫-腹腔镜技术能早期,直观,准确地明确不孕症盆腔病因并予以针对性治疗,并在直视下通夜,动态观察输卵管通畅度和形态。大大降低了常规通夜术的假阳性,假阴性率。
Objective: To evaluate the value of uterine-laparoscopy in diagnosis and treatment of female infertility. Methods: The clinical data of 61 cases of female infertility diagnosed and treated by hystero-laparoscopy during 3 years were retrospectively analyzed. Results: Sixty-one cases of pelvic adhesions, 12 cases of salpingitis, eight cases of intrauterine adhesions, six cases of endometriosis , 5 cases of endometrial polyps, 5 cases of endometritis, 4 cases of polycystic ovary syndrome, 1 case of uterine mediastinum and 1 case of uterine submucosal tumor. The postoperative pregnancy rates were 56.25%, 50%, 62.5% 83.33%, 60%, 60%, 75%, 100%, 100%. Pelvic adhesions, intrauterine adhesions, salpingitis, endometriosis is the main cause of infertility. Conclusions: The pelvic etiology of infertility can be identified early and intuitively and accurately by the method of hysteroscopy and laparoscopy. The pelvic etiology of infertility can be identified and targeted therapy can be made. The tubal patency and morphology can be dynamically observed under night vision. Greatly reduce the routine night surgery false positive, false negative rate.