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目的研究分析宫腔镜联合腹腔镜诊断治疗不孕症的临床价值。方法选取我院于2009年4月至2010年11月收治的50例不孕症患者,将其临床资料进行回顾性分析。结果 50例患者中有9例患者是子宫内膜息肉,占18%;5例患者是子宫畸形,占10%;3例患者是宫腔粘连,占6%;9例患者为子宫内膜异位症,占18%;11例为多囊卵巢,占22%;盆腔炎性粘连13例,占26%,是不孕症的首要因素。手术过后对患者进行为期1年的随访,显效6例,占12%;有效17例,占34%;无效27例,占54%;总有效率为46%,与治疗前对比差异有统计学意义(P<0.05)。结论宫腔镜联合腹腔镜诊断以及治疗不孕症具有显著的临床价值,值得在临床上推广应用。
Objective To analyze the clinical value of hysteroscopy combined with laparoscopy in the diagnosis and treatment of infertility. Methods Fifty infertile patients were selected from our hospital from April 2009 to November 2010, and their clinical data were retrospectively analyzed. Results Nine of the 50 patients were endometrial polyps, accounting for 18%. Five patients had uterine malformations, accounting for 10%. Three patients had intrauterine adhesions, accounting for 6%. Nine patients had endometriosis Symptoms, accounting for 18%; 11 cases of polycystic ovary, accounting for 22%; pelvic inflammatory adhesions in 13 cases, accounting for 26%, is the primary factor of infertility. The patients were followed up for 1 year after operation, 6 cases were markedly effective, accounting for 12%; effective in 17 cases, 34%; ineffective in 27 cases, accounting for 54%; total effective rate was 46%, statistically significant difference compared with before treatment Significance (P <0.05). Conclusion Hysteroscopy combined with laparoscopic diagnosis and treatment of infertility has a significant clinical value, it is worth to promote the clinical application.