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目的探讨腹腔镜联合宫腔镜行输卵管插管疏治疗输卵管性不孕症疗效。方法选择经子宫输卵管碘油造影诊断为输卵管性不孕的患者62例,行腹腔镜联合宫腔镜行输卵管插管疏通术,并视术中所见选择不同的手术方式进行相应的治疗。结果 62例患者,共122条输卵管,其中输卵管不通100条,经插管疏通术后,成功率为87.0%。术后6个月内妊娠22例(35.48%),术后1年内妊娠27例(43.55%)。结论腹腔镜联合纤维宫腔镜行输卵管插管疏通术治疗输卵管性不孕症,安全有效,提高了受孕率,是治疗女性不孕的最佳方法。
Objective To investigate the efficacy of laparoscopic combined with hysteroscopy in the treatment of tubal infertility. Methods Sixty-two cases of tubal infertility diagnosed by hysterosalpingography were selected and treated by laparoscopy combined with hysteroscopy for tubal intubation. Depending on the surgical procedure, different surgical procedures were selected for the corresponding treatment. Results 62 patients, a total of 122 tubal, including tubal barrier 100, through the tube to clear the operation, the success rate was 87.0%. There were 22 cases (35.48%) of pregnancies within 6 months after operation and 27 cases (43.55%) of pregnancies within 1 year after operation. Conclusions Laparoscopy combined with hysteroscopy in the treatment of tubal infertility is safe and effective, which improves the pregnancy rate and is the best method to treat female infertility.