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目的探讨宫腹腔镜联合手术在不孕症的治疗中的临床价值。方法对2009年1月至2012年2月对我院106例不孕症患者行宫腹腔镜联合诊治的临床资料进行回顾性分析总结。结果106例不孕症患者55例因输卵管因素而致不孕,30例有多囊卵巢、卵巢囊肿、先天性卵巢发育不良、卵巢早衰、继发闭经;其余21例盆腔炎性粘连、宫腔粘连、子宫内膜息肉、子宫黏膜下肌瘤、子宫纵膈、子宫内膜异位症等,术后随访妊娠率49.1%(52/106),4例输卵管妊娠。结论宫腹腔镜联合是治疗不孕症的重要手段,可以直观、明确、全面的了解盆腔及宫腔的情况,同时给予对症治疗,提高受孕率,具有创伤小、恢复快、出血少、疗效肯定等优点,患者容易接受。
Objective To investigate the clinical value of laparoscopic combined surgery in the treatment of infertility. Methods From January 2009 to February 2012, we retrospectively analyzed the clinical data of hysteroscope combined with laparoscopy in 106 cases of infertility in our hospital. Results In 106 infertility patients, 55 cases were infertile due to tubal factors, 30 cases had polycystic ovary, ovarian cyst, congenital ovarian dysplasia, premature ovarian failure and secondary amenorrhea. The remaining 21 cases had pelvic inflammatory adhesions, Adhesions, endometrial polyps, uterine fibroids, uterine mediastinum, endometriosis, etc. The follow-up pregnancy rate was 49.1% (52/106), 4 cases of tubal pregnancy. Conclusions Hysteroscope combined with laparoscopy is an important method to treat infertility. It can intuitively, clearly and comprehensively understand the situation of pelvic cavity and uterine cavity, give symptomatic treatment and improve conception rate at the same time. It has the advantages of less trauma, faster recovery, less bleeding, and definite curative effect And other advantages, patients are easy to accept.