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目的探讨宫、腹腔镜联合手术在女性不孕症诊治中的应用优势。方法联合应用宫腹腔镜对256例女性不孕症患者进行检查,并对病因明确者予以相应的手术治疗。结果造成女性不孕的主要原因是盆腔粘连、盆腔炎和输卵管阻塞,子宫内膜异位症、宫腔病变也是常见因素;宫腹腔镜联合手术较单纯宫腔镜、腹腔镜诊疗不孕症诊断率明显提高。结论应用宫腹腔镜联合诊断女性不孕症的盆腔及宫腔病变,具有直观、准确、全面的优势,同时可行针对性手术治疗,提高输卵管阻塞的手术成功率。
Objective To explore the advantages of combined application of palace and laparoscopy in diagnosis and treatment of female infertility. Methods 256 cases of female infertility were examined with hysteroscopy and corresponding surgical treatment was performed on those with definite etiology. Results Female infertility caused by pelvic adhesions, pelvic inflammatory disease and tubal obstruction, endometriosis, intrauterine lesions are also common factors; Palace laparoscopic surgery combined with simple hysteroscopy, laparoscopy diagnosis of infertility The rate has improved significantly. Conclusions The application of hysteroscopy in the diagnosis of pelvic and uterine cavity lesions of female infertility has the advantages of visualization, accuracy and comprehensiveness. At the same time, it is feasible to improve the surgical success rate of tubal occlusion by using targeted surgical treatment.