论文部分内容阅读
目的探讨应用宫腹腔镜联合诊治输卵管性不孕的临床效果。方法2003年1月至2006年3月对118例子宫-输卵管造影(HSG)提示输卵管性不孕患者行宫腹腔镜联合诊断治疗,观察2种方法诊断符合率、腔镜治疗结果、术后妊娠情况。结果118例经HSG提示209条输卵管有异常者,经腔镜下检查诊断108例195条输卵管有不同程度异常,HSG符合率87.7%;经宫腹腔镜联合治疗输卵管复通率达81.5%(159/195);术后1年内妊娠率33.3%(36/108)、较术后1~2年内妊娠率14.8%(16/108)高,且P<0.05;术后2年内输卵管不畅及间质部峡部阻塞患者受孕率分别为57.9%(22/38)、62.1%(18/29),较输卵管积水术后受孕率29.3%(12/41)高,且P<0.05。结论宫腹腔镜对输卵管性不孕具有重要的诊断和治疗价值。
Objective To investigate the clinical effect of hysteroscopy combined with laparoscopy in diagnosis and treatment of tubal infertility. Methods From January 2003 to March 2006, 118 cases of tubal infertility were treated by hysteroscope combined with laparoscopy in 118 cases of uterine-fallopian tube angiography (HSG). The coincidence rate, endoscopic treatment results, postoperative pregnancy status . Results 118 cases of HSG were found to have 209 tubal abnormalities. The diagnosis of 108 cases of 195 tubal tubers with different degrees of abnormalities was found by endoscopy. The coincidence rate of HSG was 87.7%. The recurrence rate of tubal by laparoscopy was 81.5% (159 / 195). The pregnancy rate was 33.3% (36/108) in 1 year after operation, which was 14.8% (16/108) higher than that in 1 ~ 2 years after operation and P <0.05. The congenital obstruction in the hypogastric segment was 57.9% (22/38) and 62.1% (18/29), respectively, which was 29.3% (12/41) higher than that in the hydrosalpinx group (P <0.05). Conclusion Laparoscopy of laparoscopy has important diagnostic and therapeutic value for tubal infertility.