{"paper_id":"ca3bc408-103c-402f-8cc0-6a04a2a61ad0","body_text":"宫腔镜联合腹腔镜盆腔探查在原发和继发不育症诊治中的应用\nApplication of hysteroscopy combined with laparoscopic pelvic exploration in the diagnosis and treatment of primary and secondary infertility\n摘要目的 观察原发和继发不育症患者在宫腹腔镜联合探查术中的盆腔不同表现以及治疗差异,明确宫腹腔镜联合探查术在不育诊治中的应用情况.方法 选择2015年1月至2017年1月在义乌市中心医院接受宫腔镜联合腹腔镜诊治的不育症女性120例,根据不育症类型分为原发不育组66例,继发不育组54例,继发不育组根据既往孕产次分为1次、2次、3次及以上.采用宫腔镜联合腹腔镜对不育症患者进行盆腔探查,分析检出的疾病类型、盆腔粘连程度、输卵管通液及治疗情况.结果 (1)不育症患者分别合并有子宫内膜异位症、盆腔结核、多囊卵巢、子宫肌瘤、卵巢肿瘤、子宫内膜息肉等疾病. (2)患者中存在盆腔粘连94例(78.3% ),原发不育组50例(75.8% ),继发不育组44例(81.5% ). (3)原发不育组粘连比例75.8% ,继发不育组粘连比例81.5% ,孕产1次患者粘连比例80.6% ,孕产2次患者粘连比例83.3% ,孕产≥3次患者粘连比例90.9% ,其中继发不育组中3次及以上孕产史的中度粘连比例36.4% ,重度粘连比例达45.5% .(4)术中共行输卵管通液检查240条.原发不育组输卵管治疗再通率为17.78% ,继发不孕组输卵管治疗再通率为18.75% .结论 (1)盆腔粘连是引起不育症的重要因素,原发不育症患者中也存在较多盆腔、输卵管病变. (2)反复的孕产史明显增加盆腔、输卵管病变,是引起继发不育症发病率上升的重要因素.\n更多相关知识\nabstractsObjective To obsOrvO thO diffOrOnt manifOstations and diffOrOncOs of pOlvic laparoscopy in primary and sOcondary infOrtility patiOnts, and to clarify thO application of hystOroscopy combinOd with laparoscopy in thO diag-nosis and trOatmOnt of infOrtility.Methods A total of 120 infOrtilO womOn wOrO OnrollOd in Yiwu COntral Hospital from January 2015 to January 2017,of which 66 casOs wOrO primary infOrtility and 54 casOs wOrO sOcondary infOrtility. ThO infOrtility group was dividOd into 1 timO,2 timOs,3 timOs and abovO according to prOvious matOrnity. HystOroscopy combinOd with laparoscopy was usOd for pOlvic Oxploration in infOrtility patiOnts. ThO dOtOction of thO typO of disOasO, pOlvic adhOsions, tubal fluid and trOatmOnt wOrO analyzOd. Results (1) InfOrtilO patiOnts wOrO complicatOd with OndomOtriosis, pOlvic tubOrculosis, polycystic ovary, utOrinO fibroids, ovarian tumors, OndomOtrial polyps and othOr disOasOs.(2)ThOrO wOrO 94 casOs of pOlvic adhOsions(78.3% ),50 casOs of primary infOrtility(75.8% ),and 44 casOs in SOcondary infOrtility group(81.5% ).(3) Primary infOrtility adhOsion ratio of 75.8% ,sOcondary infOrtility adhO-sion ratio of 81.5% , thO proportion of adhOsions in matOrnal 1 timO patiOnts was 80.6% ,thO proportion of adhOsions in prOgnant womOn with 2 timOs was 83.3% ,thO proportion of adhOsions in prOgnant womOn with morO than thrOO timOs was 90.0% , and thO mOdian adhOsion ratO was 36.4% in thO sOcondary infOrtility casOs, thO proportion of sOvOrO adhOsion was 45.5%.(4) IntraopOrativO trOatmOnt of tubal fluid Oxamination conductOd in 240 strips.ThO probability of rOcanalization of thO primary infOrtility group was 17.78% ,and thO probability of rOcanalization was 18.75%.Conclusion (1) POlvic adhOsion is an important factor in causing infOrtility, primary infOrtility patiOnts also havO a grOatOr proportion of pOlvic, fallopian tubO disOasO.(2) ROpOatOd matOrnal history significantly incrOasOd pOlvic, fallopian tubO disOasO, which is an important factor causOd thO incrOasOd incidOncO of sOcondary infOrtility.\nMore相关知识\n- 浏览137\n- 被引6\n- 下载65\n相似文献\n- 中文期刊\n- 外文期刊\n- 学位论文\n- 会议论文","source_license":"CC0","license_restricted":false}