论文部分内容阅读
目的探讨宫腹腔镜联合诊治不孕症的临床应用。方法 2008年1月～2010年1月采取宫腹腔镜联合诊治不孕症患者158例,对其临床资料进行回顾性总结。结果本组病例均顺利完成手术,无一例术中转开腹治疗,无一例出现子宫穿孔等严重并发症;术中出血平均23mL,手术时间平均62min。术后48h内均恢复肛门排气,拔除导尿管下床活。于术后第5天拆线。术后随访3～36个月,受孕76例,妊娠率48.1%。结论宫腹腔镜联合诊治不孕症能够直观地发现宫腔及盆腹腔病变,同时能够进行精确治疗,具有创伤小、手术时间短、并发症少、术后恢复快等优点。
Objective To investigate the clinical application of hysteroscopy combined with laparoscopy in diagnosis and treatment of infertility. Methods From January 2008 to January 2010, 158 cases of infertility were treated by hysteroscopy combined with laparoscopy. The clinical data were retrospectively reviewed. Results The patients were successfully completed surgery, no case of laparotomy, no case of serious complications such as uterine perforation; intraoperative bleeding average 23mL, the average operation time 62min. Anal exhaust was recovered within 48h after operation, and the catheter was removed to live. On the 5th postoperative stitches. Follow-up 3 to 36 months after operation, 76 cases of pregnancy, pregnancy rate was 48.1%. Conclusions Hysteroscopy combined with diagnosis and treatment of infertility can detect intrauterine and pelvic lesions intuitively, and can be accurately treated with the advantages of less trauma, shorter operation time, fewer complications and quick recovery after operation.