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目的:探讨宫腔镜-B超联合输卵管插管诊治女性不孕症的临床价值。方法:对2008年1月1日～12月31日佛山市妇幼保健院宫腔镜-B超联合输卵管插管诊治的395例女性不孕症进行14～26个月的随访,了解患者的妊娠率、宫外孕发生率及最后结局。结果:395例患者输卵管疏通率71.00%,术后平均受孕时间(6.26±4.62)个月,术后妊娠率27.00%,自然流产率14.00%,宫外孕发生率3.87%。结论:宫腔镜-B超联合输卵管插管作为女性不孕症的初筛方法至少可以使1/4的女性不孕症患者避免腹腔镜手术或IVF-ET而获得妊娠;另外可以筛选出双侧输卵管伞端粘连及盆腔粘连的不孕症患者接受宫-腹腔镜手术;筛选出双侧输卵管严重堵塞或原因不明或男方因素的不孕症患者接受IVF-ET。
Objective: To investigate the clinical value of hysteroscopy-B combined with tubal intubation in diagnosis and treatment of female infertility. Methods: From January 1, 2008 to December 31, 2008, 395 female infertility patients treated by hysteroscopy-B combined with tubal intubation in Foshan MCH hospital were followed up for 14 to 26 months to understand the patients’ pregnancy Rate, the incidence of ectopic pregnancy and the final outcome. Results: The tube salvage rate was 71.00% in 395 patients and 6.26 ± 4.62 months after operation. The postoperative pregnancy rate was 27.00%, the spontaneous abortion rate was 14.00% and the ectopic pregnancy rate was 3.87%. Conclusion: Hysteroscopy-B combined with tubal intubation as a screening method for female infertility at least can make 1/4 of female infertility patients to avoid laparoscopic surgery or IVF-ET and get pregnant; In addition can be screened double Lateral fallopian tube adhesions and pelvic adhesions in infertility patients underwent laparoscopic hysteroscopy; screening for severe bilateral tubal blockage or unexplained or male infertility factors in patients receiving IVF-ET.