论文部分内容阅读
目的探讨宫、腹腔镜在女性不孕症中的诊疗价值。方法 109例不孕症患者行腹腔镜或宫、腹腔镜联合手术,评价盆腔情况及输卵管通畅率,并依据术中探查结果实施不同手术方式;比较腹腔镜与术前碘油造影输卵管通畅程度诊断符合率及手术前、后输卵管通畅率;随访观察术后妊娠率。结果腹腔镜下与术前碘油造影评价201条输卵管通畅度总诊断符合率为87.56%;109例腹腔镜检查发现异常盆腔95例,33例辅助宫腔镜联合检查后发现异常宫腔15例,均行相应手术治疗;术后输卵管通畅率86.19%,与术前(45.2%)比较差异有统计学意义(P<0.05);有效随访术后至少一侧输卵管通畅者64例,妊娠率25%。结论腹腔镜诊断输卵管性不孕症直观、准确;宫,腹腔镜技术具有直视下诊断、治疗及微创等优势。
Objective To explore the value of diagnosis of laparoscopy and uterus in female infertility. Methods A total of 109 cases of infertility patients underwent laparoscopic or combined laparoscopy and hysteroscopy to evaluate pelvic and tubal patency rates and to perform different operative methods according to the results of intraoperative exploration. The diagnosis of tubal patency by laparoscopy and preoperative lipiodol was compared The coincidence rate and the tubal patency rate before and after surgery were observed. The follow-up pregnancy rate was observed. Results The total diagnostic accuracy of 201 tubal patency in laparoscopic and preoperative evaluation of lipiodol was 87.56%. 109 cases of abnormal pelvic findings were found in 109 cases of laparoscopy and 15 cases of abnormal uterine cavity in 33 cases of assisted hysteroscopy (P <0.05). The effective rate of tubal patency was 86.19%, which was significantly lower than that of preoperation (45.2%) (P <0.05). At least 64 cases of tubal patency %. Conclusions Laparoscopic diagnosis of tubal infertility is intuitive and accurate. Palace and laparoscopy have the advantages of direct diagnosis, treatment and minimally invasive treatment.