宫腔镜联合腹腔镜诊治不孕症盆腔疾病的价值研究.docVIP

精品论文 参考文献 宫腔镜联合腹腔镜诊治不孕症盆腔疾病的价值研究 陈秀华 陈文 林苑 卢冬青 李卓华 　　(汕头市第二人民医院妇产科 广东汕头 515011) 　　【摘要】 目的：探讨宫腔镜联合腹腔镜在诊治不孕症盆腔疾病的临床价值。方法：对2009年1月～2013年6月我院收治的60例不孕症患者实行腹腔镜和宫腔镜联合检查发现盆腔疾病和不孕的影响因素进行分析，查找病因，并在镜下进行治疗,指导术后治疗。 结果：60例患者中宫腔镜检查异常的病例有17例，占28.3%，其中宫腔粘连5例，占8.3%，腹腔镜检查发现盆腔异常的有52例，占86.7%，其中盆腔炎症38例（盆腔粘连25例，占41.7%，输卵管积水阻塞30例，占50.0%），占63.3%，盆腔子宫内膜异位症13例，占28.3%。盆腔炎（盆腔粘连）、输卵管阻塞、子宫内膜异位症及宫腔粘连是引起不孕的主要盆腔原因。 结论：应用宫、腹腔镜联合诊治不孕症能直观、准确、全面地明确盆腔、宫腔病变，在诊断的同时进行治疗，提高妊娠率，其创伤小、并发症少、安全有效，具有重要的临床应用价值。 　　【关键词】 宫腔镜 腹腔镜 不孕症 盆腔疾病 　　【中图分类号】R71 【文献标识码】A 【文章编号】2095-1752（2013）34-0090-02 　　The Value of hysteroscope combined laparoscope infertility of diagnosis and treatment of pelvic diseas Research 　　Xiu-Hua Chen, Wen Chen, Yuan Lin, Dong-Qing Lu, Zhuo-Hua Li 　　【Abstract】 Objective： Study hysteroscope combined the clinical value of laparoscope To Investigate in the infertility of diagnosis and treatment of pelvic disease. Methods: From January 2009 to June 2013, our hospital the 60 cases of infertility patients in laparoscopy and hysteroscopy combined examination revealed pelvic disease andinfluence factors of infertility were analyzed,and find the case,and under the nirror treatment,guide postoperative treatment.Results:Abnormal hysteroscopy examination in 60 patients, 17 cases,(28.3%),uterine cavity adhesion in 5 cases,which accounted for 8.3%,found laparoscopic pelvic anomlie in 52 cases,account for 86.7%,pelvic inflammation,38 cases (25 cases of adhesion ,accounted for 41.7% hydrosalpinx block 30 cases,50.0%),(63.3%),13cases of pelvic endometrosis,accounting for 28.3%,pelvic inflammatory disease( pelvic adhesion),fallopian tube obstruction, endome trosis andpecvic main reason caused infertility caused by intrauterine adhesions is.Conclusion:Application of infertility of diagnosis and treatment of hysteroscopy combined with laproscopy can be intuitive ,accurate and comprehensive clear of uterine cavity lesions,pelvic cavity,in the diagn