[1]王玉洁,何芳,刘志红,等.宫腔镜、腹腔镜联合诊治输卵管不孕[J].中国微创外科杂志,2004,04(1):57-58.
　Wang Yujie*,He Fang,Liu Zhihong,et al.Diagnosis and treatment of tubal infertility by laparoscopy combined with hysteroscopy[J].Chinese Journal of Minimally Invasive Surgery,2004,04(1):57-58.
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宫腔镜、腹腔镜联合诊治输卵管不孕()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
04
期数:
2004年1期
页码:
57-58
栏目:
出版日期:
2004-01-20

文章信息/Info

Title:
Diagnosis and treatment of tubal infertility by laparoscopy combined with hysteroscopy
作者:
王玉洁; 何芳; 刘志红; 吴瑞芳; 朱桂金①; 林华①
北京大学深圳医院妇产科,深圳,518036
Author(s):
Wang Yujie*;  He Fang;  Liu Zhihong;  et al.
Department of Obstetrics & Gynecology, Peking University Shenzhen Hospital, Shenzhen518036, China
关键词:
宫腔镜;  腹腔镜;  输卵管积水;  不孕;  输卵管阻塞
Keywords:
Hysteroscopy; 　Laparoscopy; 　Hydrosalpinx; 　Infertility; 　Tubal obstruction
分类号:
R713.5
文献标志码:
A
摘要:
目的探讨联合宫腔镜、腹腔镜对输卵管不孕的诊治效果. 方法对子宫输卵管碘油造影诊断输卵管阻塞不孕62例124条输卵管行宫、腹腔镜联合检查. 结果 62例中双侧输卵管通畅11例22条占17.7%(22/124),一侧输卵管通畅8例8条占6.5%(8/124),输卵管间质部、峡部阻塞40条占32.3%(40/124),输卵管积水54条占43.5%(54/124).碘油造影与腹腔院诊断输卵管梗阻符合率75.8%(94/124).宫、腹腔镜下对40条间质部、峡部阻塞的输卵管行插管,成功30条,穿孔5条,失败5条.腹腔镜下输卵管积水分离、造口术54条. 结论对子宫输卵管碘油造影诊断的输卵管阻塞不孕,行宫、腹腔镜联合检查有一定价值,诊断及治疗同时进行.
Abstract:
Objective　To assess the diagnostic and curative efficacy of laparoscopy combined with hysteroscopy for tubal infertility.　Methods　A combined use of laparoscopy and hysteroscopy was performed in 62 cases of tubal obstructive infertility (124 oviducts), which had been tentatively diagnosed by lipiodol hysterosalpingography (HSG).　Results　Out of the 62 cases, 11 cases (22 oviducts) were found bilaterally unobstructed (17·7%, 22/124), 8 cases (8 oviducts) were found unilaterally unobstructed (6·5%, 8/124). Tubal interstitial or isthmus obstruction was observed in 40 oviducts (32·3%, 40/124) and hydrosalpinx in 54 oviducts (43·5%, 54/124). The consistency ratio between lipiodol HSG and endoscopy in the diagnosis of tubal obstruction was 75·8% (94/124). Tubal catheterization under hysteroscope and laparoscope was adopted in the 40 ducts of interstitial or isthmus obstruction, and 30 were cured, 5 perforated and 5 failed. Laparoscopic salpingostomy and salpingolysis was employed successfully in 54 tubes.　Conclusions　Combined use of hysteroscopy and laparoscopy is useful in the diagnosis and treatment of tubal obstruction and infertility tentatively diagnosed by HSG.

参考文献/References:

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备注/Memo

备注/Memo:
①（华中科大学同济医学院附属同济医院妇产科 武汉 430030）
更新日期/Last Update: 2014-05-14