摘要
目的探讨官腔镜腹腔镜联合诊治输卵管阻塞性不孕的临床疗效。方法选取经子宫输卵管碘油造影确诊为输卵管阻塞导致不孕的患者98例，均无手术禁忌证，行官腔镜腹腔镜联合诊治输卵管阻塞性不孕。结果98例患者，术前输卵管无一例通畅，阻塞率75％；行官腔镜腹腔镜联合诊治输卵管阻塞后，输卵管通畅率为72％，阻塞率为5％；手术前后输卵管通畅率差异有统计学意义（P〈0．05）。结论宫腔镜和腹腔镜联合能准确诊断、治疗输卵管阻塞性不孕，并能同时治疗子宫内及盆腔病变，腹部创伤性小，且利于输卵管的疏通，可使患者的妊娠率明显提高，是诊治女性输卵管阻塞性不孕的最佳方法之一，具有较好的临床应用价值。
Objective To explore the clinical effect of laparoscopy combined with hysteroscopy in diagnosis and treatment of infertility caused by fallopian tube obstruction. Methods 98 tubal obstruction infertility patients di- agnosed by hysterosalpinography was selected,which had no operation tabu symptoms clinical hysteroscopy and lapa- roseopy in the diagnosis and treatment of infertility caused by fallopian tube obstruction were retrospectively analyzed. Results Preoperatively and 98 patients, no case of patency of fallopian tube obstruction rate was 75% ;performed by laparoscopy combined with hysteroscopy in diagnosis and treatment of fallopian tube obstruction after, tubal patency rate was 72%, blocking rate was 5% ;preoperative tubal patency rate was significantly lower postoperative fallopian tube patency rate, the difference was statistically significant difference （ P 〈 0.05 ）. Conclusion Combined with hyst- eroscopy and laparoscopy in the diagnosis and treatment of infertility caused by fallopian tube obstruction has accurate diagnosis, treatment, and can simultaneously treat the uterus and pelvic lesions, because it is minimally invasive opera- tion on abdomen, traumatic, and beneficial to the fallopian tube dredging, patients can obviously improve the pregnancy rate ,which is one of the best ways for diagnosis and treatment of female infertility due to fallopian tube obstruction and has good clinical application value, so it is valuable in clinical promotion.
出处
《中国基层医药》
CAS
2013年第3期387-388,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
宫腔镜检查
腹腔镜检查
输卵管疾病
Hysteroscopy
Laparoscopy
Tubal Obstructive Infertility
