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目的探讨宫腔镜联合腹腔镜在输卵管性不孕诊断与治疗中的临床应用。方法收集福清市医院和厦门市妇幼保健院2010年7月-2013年7月收治的各类女性不孕症患者184例采取宫腔镜与腹腔镜联合检查诊治的临床资料,对其进行回顾性分析,并对其中104例输卵管性不孕患者进行输卵管评分及对比相应的怀孕情况及妊娠结局。结果 184不孕症患者中,其主要病因为输卵管异常104例(56.52%);不同的输卵管评分系统对输卵管性不孕症的预后评估有不同的临床价值。术后随访1~2年,宫内妊娠83例,IVF成功17例,异位妊娠8例,妊娠率达49.46%。结论采用宫腔镜联合腹腔镜检查可进一步明确女性不孕症的病因,并且可针对病因手术治疗,同时可对输卵管功能进行评估,可大大缩短其治疗及等待受孕时间,对输卵管严重阻塞患者,及时采取IVF等助孕措施,进而有效提高不孕症的治疗效果,促进女性生育,有重大意义。
Objective To discuss the clinical application of hysteroscopy combined with laparoscopy in the diagnosis and treatment of tubal infertility. Methods The clinical data of 184 cases of female infertility patients who were treated in Fuqing City Hospital and Xiamen MCH from July 2010 to July 2013 were retrospectively analyzed by hysteroscopy and laparoscopy. Analysis and tubal infertility in 104 cases of tubal score and compare the corresponding pregnancy and pregnancy outcomes. Results 184 infertility patients, the main cause of tubal abnormalities in 104 cases (56.52%); different fallopian tube score system on the prognosis of tubal infertility have different clinical value. Follow-up 1 to 2 years after surgery, 83 cases of intrauterine pregnancy, IVF success in 17 cases, ectopic pregnancy in 8 cases, the pregnancy rate was 49.46%. Conclusion Hysteroscopy combined with laparoscopy can further clarify the etiology of female infertility, and can be treated for the cause of surgery, tubal function can be assessed, can greatly reduce the treatment and waiting time for conception, tubal obstruction in patients with severe obstruction, Timely IVF and other pregnancy-assisted measures to effectively improve the treatment of infertility and promote women’s reproductive, of great significance.