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目的:探讨宫腹腔镜联合治疗输卵管性不孕症的方法和效果。方法:经输卵管碘油造影诊断输卵管阻塞的不孕症患者并在腹腔镜下证实的32例45条输卵管在腹腔镜下行输卵管外部粘连松解、造口术并联合宫腔镜行输卵管插管及加压通液术疏通输卵管。结果:32例中45条输卵管存在外部粘连及管腔内阻塞,全部实施输卵管粘连松解及插管通液,28条通液成功(成功率62.2%),随访最短1个月,最长2年,已有11例受孕(受孕率34.4%),其中宫内妊娠10例,输卵管妊娠1例。结论:宫腔镜及腹腔镜联合使用能安全有效地疏通输卵管内外粘连,提高成功率及减少输卵管插管损伤等并发症。
Objective: To investigate the method and effect of hysteroscopy combined with laparoscopic treatment of tubal infertility. Methods: Tubal lipiodol was used to diagnose infertility patients with tubal obstruction and confirmed by laparoscopy in 45 cases of 45 cases of tubal laparoscopic tubal external adhesions loosening, ostomy and hysteroscopic tubal intubation and Pressurized liquid to clear the fallopian tube. Results: Of the 32 cases, 45 tubal external adhesions and intraluminal obstruction, all the implementation of tubal adhesion loosening and intubation fluid, 28 of the fluid success (success rate 62.2%), followed up for a minimum of 1 month, the longest 2 Year, there have been 11 cases of conception (pregnancy rate 34.4%), including 10 cases of intrauterine pregnancy, tubal pregnancy in 1 case. Conclusion: The combination of hysteroscopy and laparoscopy can effectively and effectively clear the adhesions inside and outside the tubal, improve the success rate and reduce complications such as tubal intubation.