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目的:探讨宫、腹腔镜联合应用在女性不孕症诊治中的价值。方法:联合应用宫、腹腔镜对82例不孕症患者进行检查,并对病因明确者行相应治疗。对宫、腹腔镜联合检查结果与宫、腹腔镜单独检查及B超检查结果进行比较,并分析不孕症原因和宫、腹腔镜联合诊治输卵管通常情况。结果:宫、腹腔镜联合检查异常率为92.68%,明显高于单独使用宫腔镜(47.56%)、腹腔镜(84.14%)或B超(76.82%)检查。不孕症的主要原因:盆腔炎、子宫内膜炎、子宫内膜异位症、盆腔结核分别占36.58%、18.29%、15.85%、9.76%。原发、继发不孕症手术前输卵管通畅率分别为41.10%、59.42%,术后为68.49%、81.16%,术后妊娠率达36.40%。结论:应用宫、腹腔镜联合诊治不孕症患者能直观、准确、全面地明确盆腔、宫腔疾患,并予以针对性治疗,可提高手术疏通输卵管的成功率,提高女性不孕症患者的妊娠情况。
Objective: To explore the value of combined application of palace and laparoscopy in diagnosis and treatment of female infertility. Methods: In combination with uterine and laparoscopy, 82 cases of infertility patients were examined, and the corresponding causes were determined. Palace, laparoscopic combined with the results of the palace, laparoscopic and B-ultrasound examination results were compared, and analysis of the causes of infertility and palace, laparoscopic diagnosis and treatment of tubal usually. Results: The abnormal rate of uterine and laparoscopy was 92.68%, which was significantly higher than that of hysteroscopy alone (47.56%), laparoscopy (84.14%) or ultrasonography (76.82%). The main causes of infertility: pelvic inflammatory disease, endometritis, endometriosis, pelvic tuberculosis accounted for 36.58%, 18.29%, 15.85%, 9.76%. Primary and secondary infertility surgery before tubal patency rates were 41.10%, 59.42%, 68.49%, 81.16% postoperative pregnancy rate was 36.40%. Conclusion: The combination of uterus and laparoscopy in the diagnosis and treatment of infertility patients can be intuitive, accurate and comprehensive identification of pelvic and uterine diseases, and targeted treatment can improve the success rate of surgery to clear the fallopian tube and improve the pregnancy of female infertility patients Happening.