Objective To assess the value of laparoscopy combined with hysteroscopy in diagnosis and treatment of the female infertility. Methods From September 2012 to May 2014, 451 cases of female infertility were treated with hys-teroscopy and laparoscopy, and the method has the pelvic adhesion and loose solution, tubal umbrella end stoma, form-ing operation, endometrial ablation, ovarian endometriosis, polycystic ovary and multi point drilling, laparoscopic moni-toring of uterine septum, hysteroscopy, tubal catheterization, hysteroscopy, adhesion, etc.. Results We found the major reasons of fertility in 451 cases were pelvic adhesion and the obstruction of fallopian tube. The minor reasons were u-terine polyps, normal pelvis, endometriosis and ovary tumor. After operation, the incidence of pregnancy was about 53.72%. Conclusion Laparoscopy combined with hysteroscopy can not only diagnoses the cause of infertility but also cure some patients, it provides a simple and effect way which results in less injury and quicker recovery.%目的 探讨宫腔镜、 腹腔镜联合手术在诊治女性不孕症中的价值. 方法 2012年9月~2014年5月应用宫腔镜、腹腔镜联合手术治疗女性不孕症451例,方法有盆腔粘连松解术,输卵管伞端造口术、成形术,子宫内膜异位症电灼术,卵巢子宫内膜异位囊肿剥出术,多囊卵巢多点打孔术,腹腔镜监护下子宫纵隔宫腔镜电切术、宫腔镜下输卵管插管通液术、宫腔镜粘连松解术等. 结果 输卵管阻塞、盆腔粘连、子宫内膜异位症和多囊卵巢是不孕症的主要原因. 451例同时行宫腔镜、腹腔镜输卵管通液和各种疾病的治疗,联合手术后妊娠率为53.72%. 结论宫腔镜、腹腔镜联合手术能在一次麻醉下,全面检查、诊断女性不孕症原因的同时进行手术治疗,具有安全、有效、痛苦少、术后康复快等优点.
展开▼
