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目的探讨宫腔镜联合腹腔镜手术对女性输卵管性不孕症患者的临床疗效。方法选取2008年10月-2011年10月在桂林市妇幼保健院妇科及桂林市解放军第181医院生殖不孕中心女性输卵管性不孕患者378例,选择在月经干净3～7d行宫腹腔镜联合检查。结果术后输卵管复通率89.9%,术后随访1年妊娠率46.8%,异位妊娠率1.8%。结论宫腔镜联合腹腔镜是一种诊治女性不孕症简便、准确、迅速的方法,既可提高妊娠率又能减轻患者痛苦,值得在临床上推广。
Objective To investigate the clinical effect of hysteroscopy combined with laparoscopic surgery on female tubal infertility. Methods From October 2008 to October 2011, 378 women with tubal infertility in Gynecology and Obstetrics Center of Guilin Maternal and Child Health Hospital and the 181st Hospital of People’s Liberation Army Guilin People’s Liberation Army were enrolled in this study. . Results Postoperative tubal recanalization rate was 89.9%. The follow-up 1-year pregnancy rate was 46.8% and ectopic pregnancy rate was 1.8%. Conclusions Hysteroscopy combined with laparoscopy is a simple, accurate and rapid method for diagnosis and treatment of infertility in women, which can not only improve the pregnancy rate but also reduce the suffering of patients, which is worth to be popularized clinically.