[1]卓蓉,王中海,肖天慧.宫、腹腔镜联合诊治不孕症133例分析[J].中国微创外科杂志,2009,09(6):530-534.
　Zhuo Rong,Wang Zhonghai,Xiao Tianhui..Laparoscopy Combined with Hysteroscopy for the Diagnosis and Treatment of Infertility[J].Chinese Journal of Minimally Invasive Surgery,2009,09(6):530-534.
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宫、腹腔镜联合诊治不孕症133例分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年6期
页码:
530-534
栏目:
出版日期:
2009-08-01

文章信息/Info

Title:
Laparoscopy Combined with Hysteroscopy for the Diagnosis and Treatment of Infertility
作者:
卓蓉; 王中海; 肖天慧
广东医学院附属深圳市第六人民医院（南山医院）妇产科，深圳518052
Author(s):
Zhuo Rong;  Wang Zhonghai;  Xiao Tianhui.
Department of Obstetric and Gynecology,Shenzhen Sixth People's Hospital, Guangdong Medical College, Shenzhen 518052, China
关键词:
宫腔镜; 腹腔镜; 不孕症; 输卵管阻塞
Keywords:
Hysteroscopy; Laparoscopy; Infertility; Tubal obstruction
分类号:
R713.7
文献标志码:
A
摘要:
目的探讨宫、腹腔镜联合对输卵管不孕的诊断价值及治疗效果。方法2004年9月～2007年12月对133例经子宫输卵管碘油造影、宫腔镜诊断输卵管性不孕，行宫、腹腔镜联合检查、治疗,根据术中不同情况选择不同的手术方式。结果133例不孕症中255条输卵管中，术前阻塞180条，通而不畅57条，通畅18条；术后通畅211条，通而不畅24条，阻塞20条，手术疏通率81.4％（193/237）。术后随访92例，时间4～18个月，妊娠30例，妊娠率32.6％（30/92），2例输卵管妊娠，28例宫内妊娠，其中术后6个月内妊娠22例，术后6～12个月妊娠8例。双侧输卵管通畅妊娠24例，妊娠率26.1％（24/92），一侧输卵管通畅妊娠6例，妊娠率6.5％（6/92）。单纯输卵管不孕妊娠率22.8％（21/92），有合并症输卵管不孕妊娠率9.8％（9/92）。结论宫、腹腔镜联合检查、治疗输卵管性不孕，可避免单独使用宫腔镜、腹腔镜的局限性，提高诊断的准确性及治疗效果。
Abstract:
ObjectiveTo investigate the diagnostic value and therapeutic effect of laparoscopy combined with hysteroscopy in patients with tubal infertility.MethodsA total of 133 patients with tubal infertility were treated by laparoscopy combined with hysteroscopy in our hospital from September 2004 to December 2007. All the cases were diagnosed by hysterosalpingography (HSG) and hysteroscopy.ResultsTotally 225 fallopian tubes were examined in the 133 patients, among which 180 tubes were completely occluded, 57 were partially occluded, and 18 were patent. After the surgeries, 211 tubes wee patent, 24 were partially blocked, while 20 were still occluded. The success rate of the operations was 81.4% (193/237). Followup was achieved in 92 patients for 4 to 18 months, in the cases, 30 were pregnant during the period (pregnancy rate: 32.6%). Of the 30 cases, 2 women had tubal pregnancy; 22 women were pregnant in 6 months after the treatments, and the other 8 were pregnant in 6-12 months after the operations. In this group of patients, the pregnancy rate in the women with both patent fallopian tubes was 26.1% (24/92), and in those with single patent fallopian tube was 6.5% (6/92).The pregnancy rate in patients with simple tubal infertility was 228%(21/92),while that of those who were complicated with tubal diseases was 98%(9/92).ConclusionLaparoscopy combined with hysteroscopy can accurately diagnose tubal infertility, and improve the therapeutic effect.

参考文献/References:

[1]朱桂全,罗丽兰,林华.联合应用宫腔镜与腹腔镜行输卵管插管再通术.中华妇产科杂志,1993，25:420-421.
[2]杨燕生,郝敏,祝育德,等.输卵管性不育及输卵管病变的腹腔镜诊断.中华妇产科杂志,1996，31:327-329.
[3]冯缵冲.输卵管阻塞的非手术治疗.实用妇产科杂志，1996，12（6）：288-290.
[4]欧阳云，姚书忠，祝育德.腹腔镜在诊断输卵管性不孕中的应用.中国内镜杂志，2000，6：40-41.
[5]夏恩兰，冯力民，段惠兰，等.宫腔镜联合腹腔镜在妇科手术中的应用.中华妇产科杂志,1998，33:178-179.
[6]林金芳，冯缵冲，丁爱华，主编.实用妇产科内镜学.上海:复旦大学出版社，2001.382.
[7]喇端端，吴步初，沈立翡，等.宫腹腔镜联合手术诊治不孕症150例分析.腹腔镜外科杂志，2006，11（1）：3-5.
[8]王玉洁，何芳，刘志红，等.宫腔镜、腹腔镜联合诊治输卵管不孕.中国微创外科杂志，2004，4（1）：57-58.

更新日期/Last Update: 2014-01-08