论文部分内容阅读
本文对320例不孕症患者行腹腔镜检查,其中47例同时行宫腔镜检查及治疗。腹腔镜检查结果表明,盆腔炎症和子宫内膜异位症是本组病例中最常见的病因,占77.5％,由此引起的盆腔粘连和输卵管阻塞占71.33％,而这些病例56.9％(110/255)没有临床表现,因此腹腔镜检查是诊断盆腔炎和子宫内膜异位症的可靠方法。47例宫腔镜检查发现异常占21.3％,其中27例49条阻塞输卵管在宫腔镜下加压通液及行插管术,其中8例11条输卵管通畅,占29.6％,4例妊娠。因此对HSG或腹腔镜检查发现的输卵管阻塞,特别是近端阻塞,可在腹腔镜监视下,行宫腔镜加压通液或输卵管插管再通术以减少误诊。
In this paper, 320 cases of infertility patients underwent laparoscopy, of which 47 cases underwent simultaneous hysteroscopy and treatment. Laparoscopy showed that pelvic inflammatory disease and endometriosis were the most common causes of this group of patients, accounting for 77.5%, resulting in pelvic adhesions and tubal obstruction accounted for 71.33%, while 56.9% (110 / 255) has no clinical manifestations, laparoscopy is a reliable method of diagnosing pelvic inflammatory disease and endometriosis. 47 cases of hysteroscopy found abnormalities accounted for 21.3%, of which 27 cases of 49 obstruction of the fallopian tubes in the hysteroscopic plus fluid and intubation, of which 8 cases of 11 tubal patency, accounting for 29.6%, 4 cases of pregnancy. Therefore, the HSG or laparoscopic tubal occlusion found, especially proximal obstruction, laparoscopy can be under the hysteroscopic hysteroscopic catheterization or recanalization to reduce the misdiagnosis.