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目的评价腹腔镜联合宫腔镜诊治女性不孕症的临床价值。方法对240例女性不孕症患者实行腹腔镜联合宫腔镜诊断及治疗,镜下评估不孕症病因,评价输卵管阻塞治疗后的疏通效果,随访术后妊娠情况。结果 240例中发现盆腔病变208例(86.7%),不孕原因居前3位的是盆腔粘连及输卵管阻塞(40.8%)、子宫内膜异位症(21.7%)、子宫内膜息肉(6.7%);治疗后双侧输卵管不通率由治疗前的40.8%下降至11.7%(P<0.01);术后随访3个月～3年,妊娠101例(42.1%)。结论在不孕症诊治中腹腔镜及宫腔镜可优势互补,能解决引起不孕的诸多原因,提高妊娠率。
Objective To evaluate the clinical value of laparoscopy combined with hysteroscopy in diagnosis and treatment of female infertility. Methods A total of 240 female infertility patients were diagnosed and treated by laparoscopy combined with hysteroscopy. The etiology of infertility was assessed by microscopy. The effect of tubal obstruction after treatment was evaluated. Pregnancy was followed up. Results Among the 240 cases, 208 cases (86.7%) had pelvic lesions and the third leading causes of infertility were pelvic adhesions and fallopian tube obstruction (40.8%), endometriosis (21.7%), endometrial polyps %). After treatment, the incidence of bilateral tubal failure decreased from 40.8% before treatment to 11.7% (P <0.01). The patients were followed up for 3 months to 3 years and 101 cases (42.1%) were pregnant. Conclusion Laparoscopy and hysteroscopy in the diagnosis and treatment of infertility can complement each other, can solve many causes of infertility, improve pregnancy rate.