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目的探讨宫-腹腔镜联合手术在诊治不孕症中的价值。方法对96例不孕症患者采用宫-腹腔镜联合手术进行诊治,术后随访3个月至2年,评估疗效。结果 96例患者发现宫腹腔病变93例占96.9%,其中盆腔粘连及输卵管阻塞60例占62.5%,单纯输卵管阻塞45例,经粘连松解及输卵管再通整形术后再通39例占86.7%;术后对65例患者随访3个月至2年,妊娠23例,妊娠率35.4%。结论宫腹腔镜联合检查可明确女性不孕的确切原因,并根据病因进行适当治疗。
Objective To explore the value of uterine-laparoscopic surgery in diagnosis and treatment of infertility. Methods 96 cases of infertility patients were diagnosed and treated by uterine-laparoscope combined surgery. The patients were followed up for 3 months to 2 years to evaluate the curative effect. Results Ninety-nine cases of uterine cavity lesions were found in 96 cases, accounting for 96.9%. Among them, 60 cases of pelvic adhesions and tubal obstruction accounted for 62.5%, simple obstruction of tubal obstruction of 45 cases, adhesions release and tubal recanalization followed by 39 cases (86.7% ; 65 patients were followed up for 3 months to 2 years, 23 cases of pregnancy, the pregnancy rate was 35.4%. Conclusion Laparoscopy combined with laparoscopy can confirm the exact cause of female infertility, and according to the cause of appropriate treatment.