CAJ | 학술논문

目的：研究腹腔镜联合宫腔镜治疗不孕不育症的治疗效果。方法选取2010年2月至2012年6月深圳市龙岗区第二人民医院妇科不孕不育症患者146例，按随机数字表法分为观察组和对照组，各73例。观察组给予腹腔镜和宫腔镜联合诊断与治疗，对照组给予保守治疗或外科手术治疗，两组患者的护理方法相同，比较两组患者术后生育功能和妊娠情况。结果观察组73例患者中，妊娠72例，占98.6％，分娩70例，占95.9％，胎儿存活率100.0％；对照组73例患者中，妊娠65例，占89.0％，分娩57例，占78.1％，胎儿存活率100.0％。结论腹腔镜联合宫腔镜治疗不孕不育症与保守治疗或外科手术治疗相比，诊断准确性更高，治疗效果好，预后快，值得推广借鉴。
목적：연구복강경연합궁강경치료불잉불육증적치료효과。방법선취2010년2월지2012년6월심수시룡강구제이인민의원부과불잉불육증환자146례，안수궤수자표법분위관찰조화대조조，각73례。관찰조급여복강경화궁강경연합진단여치료，대조조급여보수치료혹외과수술치료，량조환자적호리방법상동，비교량조환자술후생육공능화임신정황。결과관찰조73례환자중，임신72례，점98.6％，분면70례，점95.9％，태인존활솔100.0％；대조조73례환자중，임신65례，점89.0％，분면57례，점78.1％，태인존활솔100.0％。결론복강경연합궁강경치료불잉불육증여보수치료혹외과수술치료상비，진단준학성경고，치료효과호，예후쾌，치득추엄차감。
Objective To investigate the therapeutic effect of laparoscopy and hysteroscopy for infertil-ity.Methods A total of 146 infertility patients from Shenzhen Longgang District Second People′s Hospital during Feb.2010 and Jun.2012 were divided into observation group and control group according to random number table method.Patients of the observation group were treated with laparoscopy and hysteroscopy. Patients of the control group were treated with conventional therapy and surgical operation .Both of them accepted the same nursing therapy.The postoperative fertility and pregnancy of the two groups were com-pared.Results In the observation group,there were 72 cases(98.6%) of pregnancy,70 cases(95.9%) of childbirth with fetal survival rate of 100%.In the control group,there were 65 cases(89.04%) of pregnan-cy,57 cases(78.1%) of childbirth with fetal survival rate of 100.0%.Conclusion Laparoscopy combined with hysteroscopy has good effect in the treatment of infertility,featured with higher diagnostic accuracy,quic-ker recovery,less adverse reactions,thus is worthy of promotion.