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目的:探讨在妇产科临床中联合应用官腔镜与腹腔镜治疗的可行性及其疗效价值。方法选取我院妇产科2011年8月~2012年8月收治的156例患者为研究对象,对其临床资料进行回顾性分析,上述患者均行宫腔镜和腹腔镜联合手术治疗,总结其手术方法及疗效。结果本组患者共施行352项手术,其中有156例为宫腔镜操作,196例为腹腔镜操作,均同时实施官腔镜和腹腔镜手术,所有患者均治愈并康复出院。随访1~2年发现,27例原发性不孕患者术后妊娠8例,占29.63%;46例继发性不孕患者术后妊娠13例,占28.26%。结论联合应用宫腔镜与腹腔镜治疗妇产科疾病可提高手术治愈率,缩短治疗周期,降低并发症发生率和二次手术的概率,安全性较高,具有临床推广应用价值。
Objective: To investigate the feasibility and efficacy of combined application of endoscopic and laparoscopic treatment in obstetrics and gynecology. Methods 156 cases of obstetrics and gynecology in our hospital from August 2011 to August 2012 were selected as the research object. The clinical data were retrospectively analyzed. The patients underwent hysteroscopy and laparoscopy combined with surgical treatment. Methods and efficacy. Results A total of 352 procedures were performed in this group of patients. Among them, 156 were hysteroscopic and 196 were laparoscopic. All underwent simultaneous laparoscopic and laparoscopic surgery. All patients were cured and discharged. Follow-up 1 to 2 years found that 27 cases of primary infertility patients postoperative pregnancy in 8 cases, accounting for 29.63%; 46 cases of secondary infertility patients postoperative pregnancy in 13 cases, accounting for 28.26%. Conclusions The combined application of hysteroscopy and laparoscopy in the treatment of obstetrics and gynecology diseases can improve the cure rate, shorten the treatment cycle, reduce the incidence of complications and the probability of secondary surgery, high safety, with clinical application value.