目的:探讨宫、腹腔镜联合诊治女性不孕症的效果.方法:回顾分析2005年5月至2010年4月80例女性不孕症患者采用宫、腹腔镜联合诊治的临床资料.结果:手术时间平均(55±17) min,术中出血量平均(80±13) ml.80例不孕症患者中,盆腔炎37例,子宫内膜异位症30例,多囊卵巢6例,盆腔结核3例,子宫肌瘤3例,卵巢囊肿1例.输卵管总复通率73.61%.术后随访67例1～2年,妊娠21例.结论:宫、腹腔镜联合手术可明确诊断不孕原因,并可同时治疗,手术安全,输卵管复通率高,术后妊娠率明显改善,值得推广应用.%Objective :To investigate the effect of hysteroscopy and laparoscopy on diagnosis and treatment of female infertility.Methods:The clinical data of 80 female patients with infertility diagnosed and cured by hysteroscopy and laparoscopy was retrospectively analyzed. Results:The mean operative time was (55 ± 17) min,and mean blood loss was (80 ± 13) ml. There were 37 cases of polvic inflammation,30 cases of endometriosis,6 cases of polycystic ovary,3 cases of pelvic cavity tuberculosis,3 cases of hysteromyoma and 1 case of ovarian cyst. The overall recanalization rate of oviduct was 73.61％. 67 cases were followed up for 1-2 years, and 21 cases were pregnant. Conclusions:Hysteroscopy and laparoscopy can safely diagnose and treat infertility, and improve the recanalization rate of oviduct and postoperative pregnancy rate. This procedure is worthy of clinical application.
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