| 余丽辉，何亚琼.宫、腹腔镜联合治疗女性不孕症452例的临床分析.[J].中南医学科学杂志.,2013,41(3):263-266. |
| 宫、腹腔镜联合治疗女性不孕症452例的临床分析 |
| Observing the Palace Peritoneoscope Diagnosis and Treatment in 452 Cases of Female Infertility for Pelvic Diseases |
| 投稿时间：2012-10-09 |
| DOI： |
| 中文关键词: 宫腹腔镜 不孕症 盆腔病变 子宫内膜异位症 |
| 英文关键词:the palace peritoneoscope infertility pelvic inflammation diseases endometriosis |
| 基金项目: |
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| 中文摘要: |
| 目的探讨宫、腹腔镜联合技术对不孕症患者盆腔病变的临床应用价值。方法应用宫、腹腔镜对452例不孕症患者进行宫腔、盆腔检查，并行双侧输卵管美蓝通液术动态了解输卵管通畅情况，同时进行治疗性操作。结果452例不孕症患者中有盆腔炎157例（34.73%），子宫内膜异位症51例（11.28%），多囊卵巢116例（25.66%）。盆腔炎是输卵管梗阻的最主要的原因，其次为盆腔结核。对I期和II期子宫内膜异位症患者，行病灶清除术及粘连分解术，术后妊娠率达64.17%。结论宫、腹腔镜可以明确不孕症的宫腔及盆腔原因,观察输卵管通畅情况，同时给予手术治疗，疗效确切，值得推广。 |
| 英文摘要: |
| ObjectiveTo evaluate the efficacy of the palace peritoneoscope diagnosis and treatment of female infertility for pelvic diseases.MethodsDiagnostic palace peritoneoscope was conducted in 452 cases of infertility for pelvic diseases and experiment with methylene blue fluid dynamically examined the conditions of Fallopian tubes,and remedial operation was performed simultaneously.ResultsPelvic diseases were found in 157 cases(34.73%),of pelvic inflammation diseases,51 cases(11.28%)of endometriosis (EMS),116 case(25.66%)of polycysitic ovary syndrome.PID and Pelvic tuberculosis were the first two etiological factors of obstructed Fallopian tubes.After the operations of focus clearance,pelvic adhesiolysis and peritoneal fluids clearance,the cumulative pregnancy rates were 69.00%.ConclusionDiagnostic of the palace peritoneoscope can be used to identify the pelvic diseases related to infertility，to examine the conditions of fallopinan tubes and to perform simple operations simultaneously.The therapeutic efficacy of diagnostic laparoscopy for the early mild endometriosis was reliable that it should be generalized in primary hospitals. |
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