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目的:探讨宫腔镜和腹腔镜联合诊治输卵管性不孕中的临床应用价值。方法:对136例因输卵管因素引起的不孕症患者行宫腔镜和腹腔镜联合手术,包括经宫腔镜输卵管口插管加压通液术及应用cook导丝疏通输卵管,观察术后妊娠率。结果:136例患者中182条输卵管峡部及壶腹部梗阻中经宫腔镜下输卵管插管、美兰加压疏通,共疏通118条输卵管,插管通液疏通率64.8%;而输卵管插管疏通失败的64条输卵管使用cook导丝可疏通46条,通畅率71.9%。结论:宫腹腔镜联合治疗配合cook导丝介入疏通已成为输卵管性不孕症必不可少的诊疗手段,是治疗输卵管性不孕的首选方法。
Objective: To explore the clinical value of hysteroscopy and laparoscopy in diagnosis and treatment of tubal infertility. Methods: 136 cases of infertility due to tubal factors hysteroscopy and laparoscopic surgery, including hysteroscopic tubal oral intubation and pressure through the tuberculous guide wire to clear the fallopian tube, observe the postoperative pregnancy rate . Results: Of the 136 patients, 182 tubal isthmus and ampulla obstruction in the hysteroscopic tubal intubation, Meilan pressure to clear, a total of 118 tubal emptying, catheter dredging rate was 64.8%; tubal catheter dredge Failed 64 tubal guide wire can be used to clear 46, patency rate of 71.9%. Conclusions: The hysteroscopy combined with cook wire intervention has become an indispensable treatment for tubal infertility, and is the preferred method of treatment of tubal infertility.