中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
27期
133-134,135
,共3页
不孕%宫腔镜%腹腔镜
不孕%宮腔鏡%腹腔鏡
불잉%궁강경%복강경
Infertility%Hysteroscopy%Laparoscopy
目的：探讨非男性因素所致不孕症中宫腹腔镜联合诊治的意义。方法：回顾性分析2008-2011年本院196例非男性因素所致不孕症患者，进行宫腹腔镜联合检查、诊断，术中视不同情况予以相应的治疗的结果。结果：196例患者中，原发不孕73例，其致病因素前三位的是慢性盆腔炎40例（54.79％），子宫内膜异位症18例（24.66％），多囊卵巢4例（5.48％）。继发不孕123例，其致病因素前三位的是慢性盆腔炎82例（66.67％），宫腔粘连16例（13.01％），子宫内膜异位症14例（11.38％）。术后1~4年随访患者共111例，妊娠50例，妊娠率45.05％。结论：慢性盆腔炎、子宫内膜异位症是不孕症患者最常见的盆腔因素。宫腹腔镜联合手术能集二者之长处，同时进行宫腔、盆腔疾病的诊断和治疗，是不孕症重要的检查和治疗手段。
目的：探討非男性因素所緻不孕癥中宮腹腔鏡聯閤診治的意義。方法：迴顧性分析2008-2011年本院196例非男性因素所緻不孕癥患者，進行宮腹腔鏡聯閤檢查、診斷，術中視不同情況予以相應的治療的結果。結果：196例患者中，原髮不孕73例，其緻病因素前三位的是慢性盆腔炎40例（54.79％），子宮內膜異位癥18例（24.66％），多囊卵巢4例（5.48％）。繼髮不孕123例，其緻病因素前三位的是慢性盆腔炎82例（66.67％），宮腔粘連16例（13.01％），子宮內膜異位癥14例（11.38％）。術後1~4年隨訪患者共111例，妊娠50例，妊娠率45.05％。結論：慢性盆腔炎、子宮內膜異位癥是不孕癥患者最常見的盆腔因素。宮腹腔鏡聯閤手術能集二者之長處，同時進行宮腔、盆腔疾病的診斷和治療，是不孕癥重要的檢查和治療手段。
목적：탐토비남성인소소치불잉증중궁복강경연합진치적의의。방법：회고성분석2008-2011년본원196례비남성인소소치불잉증환자，진행궁복강경연합검사、진단，술중시불동정황여이상응적치료적결과。결과：196례환자중，원발불잉73례，기치병인소전삼위적시만성분강염40례（54.79％），자궁내막이위증18례（24.66％），다낭란소4례（5.48％）。계발불잉123례，기치병인소전삼위적시만성분강염82례（66.67％），궁강점련16례（13.01％），자궁내막이위증14례（11.38％）。술후1~4년수방환자공111례，임신50례，임신솔45.05％。결론：만성분강염、자궁내막이위증시불잉증환자최상견적분강인소。궁복강경연합수술능집이자지장처，동시진행궁강、분강질병적진단화치료，시불잉증중요적검사화치료수단。
Objective:To discusses the meaning of diagnosis and treatment of hysteroscopy combined laparoscopy in non-male factor infertility. Method:196 cases with non-male factor infertility from 2008 to 2011 in the hospital were analyzed retrospectively. All the patients were examined and diagnosed by laparoscopy combined with hysteroscopy,and given treatments due to different situations in operations. Result:In all of the 196 cases,73 cases primary infertility,the top three risk factors were chronic pelvic inflammatory disease in 40 cases(54.79%),endometriosis in 18 cases(24.66%), polycystic ovary in 4 cases(5.48%). 123 cases of secondary infertility,the top three risk factors were chronic pelvic inflammatory disease in 82 cases (66.67%),endometriosis in 16 cases(13.01%),intrauterine adhesions in 14 cases(11.38%). 1-4 years follow-up for 111 patients showed that 50 cases were pregnant,the pregnancy rate was 45.05%. Conclusion:Chronic pelvic inflammatory disease and endometriosis are the most common pelvic infertility factors. Laparoscopy combined with hysteroscopy can set their strengths. For diagnosis and treatment for uterine and pelvic disease at the same time,laparoscopy combined with hysteroscopy is an important examination and treatment method for infertility.
