CAJ | 학술논문

目的:探讨宫腔腹腔镜联合应用在不孕症诊治中的临床应用价值.方法:回顾性分析笔者所在医院2009-2011年收治的82例不孕症患者的临床资料,所有患者均采取宫腔腹腔镜联合诊断和治疗.结果:宫腔腹腔镜联合诊断发现本组82例不孕症患者中慢性盆腔炎37例,子宫内膜异位症23例,多囊卵巢12例,卵巢囊肿6例,宫腔粘连4例.经宫腔腹腔镜联合治疗后,输卵管通畅48例(58.5%),通而不畅19例(23.2%),不通15例(18.3%).对患者进行6~12个月的随访,发现术后妊娠43例,妊娠率为52.4%.结论:宫腔腹腔镜联合手术治疗不孕症,对患者创伤小,术后恢复快,术后并发症的发生率较低,妊娠率较高,是一种安全有效的治疗不孕症的方法,值得临床进一步推广使用.
목적:탐토궁강복강경연합응용재불잉증진치중적림상응용개치.방법:회고성분석필자소재의원2009-2011년수치적82례불잉증환자적림상자료,소유환자균채취궁강복강경연합진단화치료.결과:궁강복강경연합진단발현본조82례불잉증환자중만성분강염37례,자궁내막이위증23례,다낭란소12례,란소낭종6례,궁강점련4례.경궁강복강경연합치료후,수란관통창48례(58.5%),통이불창19례(23.2%),불통15례(18.3%).대환자진행6~12개월적수방,발현술후임신43례,임신솔위52.4%.결론:궁강복강경연합수술치료불잉증,대환자창상소,술후회복쾌,술후병발증적발생솔교저,임신솔교고,시일충안전유효적치료불잉증적방법,치득림상진일보추엄사용.
Objective:To explore the application effect of hysteroscopy combined with laparoscopy in the diagnosis and treatment of infertility. Method:82 patients with infertility in our hospital from 2009 to 2011 years were analyzed retrospectively,and all patients were diagnosed and treated by hysteroscopy combined with laparoscopy.Result:In the 82 cases of infertility,37 patients with chronic pelvic inflammatory disease;23 patients with Endometriosis;12 patients with polycystic ovary;6 patients with ovarian cysts and 4 patients with Intrauterine adhesions were diagnosed by hysteroscopy combined with laparoscopy.Treated by hysteroscopy combined with laparoscopy,48 cases of tubal patency(58.5%),passable cases were 19(23.2%), 15 cases were not passable(18.3%).All patients were followed up for 6~l2 months after treatment of the hysteroscopy combined with laparoscopy,43 patients were pregnant,and the pregnant rate was 52.4%.Conclusion:The treatment effect of hysteroscopy combined with laparoscopy in the diagnosis and treatment of infertility is significant,and the operation wound is small;patients can quickly recover,the postoperative complications rate is low,and the pregnant rate is higher.To sum up,diagnosis and treatment by hysteroscopy combined with laparoscopy is a safe and effective method to infertility, and is worthy of further popularization and application.