[1]刘丹丹,马彩虹,乔杰.宫、腹腔镜联合诊治女性不孕症145例临床分析[J].中国微创外科杂志,2009,09(8):724-727.
　Liu Dandan,Ma Caihong*,Qiao Jie*..Laparoscopy Combined with Hysteroscopy for the Diagnosis and Treatment of Female Infertility: Report of 145 Cases[J].Chinese Journal of Minimally Invasive Surgery,2009,09(8):724-727.
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宫、腹腔镜联合诊治女性不孕症145例临床分析()
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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8期
页码:
724-727
栏目:
出版日期:
2009-08-31

文章信息/Info

Title:
Laparoscopy Combined with Hysteroscopy for the Diagnosis and Treatment of Female Infertility: Report of 145 Cases
作者:
刘丹丹; 马彩虹; 乔杰
北京大学第三医院生殖医学中心，北京100191
Author(s):
Liu Dandan;  Ma Caihong*;  Qiao Jie*.
*Center for Reproductive Medicine, Peking University Third Hospital, Beijing 100191, China
关键词:
不孕症; 宫腔镜; 腹腔镜
Keywords:
Infertility; Hysteroscopy; Laparoscopy
分类号:
R713.7
文献标志码:
A
摘要:
目的探讨宫、腹腔镜联合检查在女性不孕症中的临床应用价值。方法对2007年1月～2008年3月对145例女性不孕行宫、腹腔镜联合检查的临床资料进行回顾性分析。结果宫、腹腔镜联合检查发现136例（93.8％，136/145）盆腔异常，其中盆腔炎和子宫内膜异位症是最常见的2个不孕病因，二者分别占58.6％（85/145）和29.0％(42/145)。继发不孕患者中盆腔炎的比例高于原发不孕患者(P<0.05)；原发不孕患者中多囊卵巢综合征的比例高于继发不孕患者(P<005)。子宫输卵管碘油造影与腹腔镜诊断符合率67.2％（131/195），假阳性率28.7％(56/195)，假阴性率4.1％(8/195)。132例盆腔疾病行相应的宫、腹腔镜手术治疗，术中、术后无并发症发生。结论宫、腹腔镜联合检查可帮助明确女性不孕的确切原因及部位，并可针对病因进行治疗，是目前诊治女性不孕症的最佳方法。
Abstract:
ObjectiveTo study the clinical application of laparoscopy combined with hysteroscopy to female infertility.MethodsFrom January 2007 to March 2008, 145 cases of female infertility were examined and treated by laparoscopy combined with hysteroscopy in our hospital. We analyzed the clinical records of the patients to determine the value of the method.ResultsBy using laparoscopy combined with hysteroscopy, 136 cases of pelvic disease (93.8%, 136/145) were detected in this series. The most common causes of infertility were pelvic inflammation (58.6%，85/145) and endometriosis (29.0%，42/145). The incidence rate of pelvic inflammation in secondary infertility patients was significantly higher than in those with primary infertility (P<0.05); whereas, the rate of polycystic ovarian syndrome in the secondary infertility cases were significantly lower that the primary cases (P<0.05). The diagnostic accordance rate of laparoscopy and hysterosalpingography was 67.2% (131/195) with a false positive rate of 28.7% (56/195) and false negative rate of 4.1% (8/195). Of the patients, 132 cases of pelvic diseases were treated by laparoscopy combined with hysteroscopy, no complications occurred during and after the operation. ConclusionsLaparoscopy combined with hysteroscopy is effective in confirming the causes of female infertility and the location of the pelvic disease. Besides, the method is considered the preferred choice for female infertility, as the diseases can be treated immediately after the diagnosis.

参考文献/References:

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备注/Memo

备注/Memo:
刘丹丹（北京市卫生局学科骨干培训班成员，现工作单位：北京市昌平区医院妇产科，北京102200）
更新日期/Last Update: 2013-09-17