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目的探讨宫腔镜、腹腔镜联合诊治女性不孕症的适应证及其价值。方法宫腔镜联合腹腔镜诊治女性不孕症52例,年龄23～43岁,不孕时间2～11年。术中根据不同病因进行合适的手术方式进行手术治疗,术后进行随访、指导受孕等临床资料进行回顾性分析。结果 52例患者术后均进行随访,时间为2～24个月,52例中18例妊娠,妊娠率为34.62%,其中2例为输卵管妊娠,1例难免流产,足月分娩15例。结论宫腔镜、腹腔镜联合应用诊治女性不孕症能够早期、及时、准确的发现病因,同时并针对不同病因给予恰当的治疗,具有创伤小、恢复快、提高女性不孕症治愈率等优点。
Objective To investigate the indications and its value of hysteroscopy combined with laparoscopy in diagnosis and treatment of female infertility. Methods Hysteroscopy combined with laparoscopy diagnosis and treatment of female infertility in 52 cases, aged 23 to 43 years old, infertility time of 2 to 11 years. According to the different causes of surgery during the appropriate surgical methods for surgical treatment, postoperative follow-up, guidance and other clinical data of pregnancy were retrospectively analyzed. Results All 52 patients were followed up for 2-24 months. Eighteen of 52 patients were pregnant with a pregnancy rate of 34.62%. Two of them were tubal pregnancy, one was inevitable abortion and 15 were delivered in full term. Conclusions Hysteroscopy and laparoscopy combined with diagnosis and treatment of female infertility can find out the cause of the infertility early, timely and accurately and at the same time give appropriate treatment according to different causes, with the advantages of less trauma, rapid recovery and improvement of cure rate of female infertility .