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目的:探讨宫腔镜联合腹腔镜诊治女性不孕症的价值。方法:回顾性分析在2004年1月～2007年6月期间因有生育要求在中山大学附属第二医院住院的100例经宫、腹腔镜联合诊治的不孕病例。结果:原发不孕36例,继发不孕30例(包括有不良孕史12例,无不良孕史18例),不良孕史34例。盆腔粘连(29例)和输卵管阻塞(25例)是不孕症最主要的盆腔因素,子宫内膜异位症(20例)和多囊卵巢(20例)也是重要因素,子宫纵隔(68例)和宫腔粘连(21例)是不孕症主要的宫腔因素,65%的患者同时存在宫腔和腹腔两种以上的病变。74例施行腹腔镜下盆腔内手术,91例施行宫腔镜下手术,其中65例同时施行宫腹腔镜手术两项以上,宫、腹腔镜联合检查也可手术解除导致不孕或不育的因素。结论:宫、腹腔镜联合检查并手术对于不孕的患者是最理想的诊治策略,值得推广。
Objective: To explore the value of hysteroscopy combined with laparoscopy in diagnosis and treatment of female infertility. Methods: A retrospective analysis of 100 cases of infertility treated by Palace and Laparoscopy combined with hospitalization in the Second Affiliated Hospital of Sun Yat-sen University from January 2004 to June 2007 was conducted. Results: 36 cases of primary infertility, 30 cases of secondary infertility (including 12 cases of adverse pregnancy, 18 cases without adverse pregnancy), 34 cases of poor pregnancy history. Pelvic adhesions (29 cases) and tubal occlusion (25 cases) were the most common pelvic factors of infertility. Endometriosis (20 cases) and polycystic ovary (20 cases) were also important factors. Uterine mediastinum (68 cases ) And intrauterine adhesions (21 cases) were the main uterine factors of infertility. 65% of patients had both uterine cavity and abdominal cavity more than two kinds of lesions. 74 cases underwent laparoscopic pelvic surgery, 91 cases underwent hysteroscopic surgery, including 65 cases of simultaneous laparoscopic hysteroscopic surgery more than two, Palace, laparoscopic joint examination can also be the cause of infertility or infertility factors . Conclusion: Palace, laparoscopic joint surgery and surgery for infertility patients is the best diagnosis and treatment strategies, it is worth promoting.