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目的观察宫腔镜与腹腔镜联合诊治不孕症的临床效果。方法对2012年3月-2013年11月治疗的90例不孕患者进行回顾性分析,患者术中先后采用腹腔镜、宫腔镜探查双侧输卵管情况及宫腔内情况,根据术中发现病变的具体情况采用相应的手术方式,并于术后随访1年观察妊娠情况。结果经宫腔镜探查有异常者33例,经腹腔镜探查有异常者69例,2种方式联合探查有异常者87例,术后1年成功妊娠率为64.3%。结论宫腔镜与腹腔镜联合诊治不孕症可发现更多不孕因素并予以治疗,对提高患者妊娠率具有重要意义。
Objective To observe the clinical effect of hysteroscopy and laparoscopy in diagnosis and treatment of infertility. Methods A retrospective analysis was performed on 90 infertile patients who were treated from March 2012 to November 2013. Laparoscopy and hysteroscopy were used to detect bilateral fallopian tubes and intrauterine conditions. According to the intraoperative findings The specific circumstances of the corresponding surgical approach, and follow-up 1-year postoperative observation of pregnancy. Results There were 33 cases with abnormal findings by hysteroscopy, 69 cases with abnormal findings by laparoscopy, 87 cases with abnormalities by 2 ways and 64.3% successful pregnancy after 1 year. Conclusion Hysteroscopy combined with laparoscopy diagnosis and treatment of infertility may find more infertility factors and be treated, to improve the pregnancy rate of patients with great significance.