Clinical Analysis of Diagnosis and Treatment of Infertile Patients by Laparoscopy and Hysteroscopy

Objective To investigate the application and role of laparoscopy combined with hysteroscopy in the diagnosis and treatment of infertile patients.Methods Ninety-two patient with infertility who examined and treated with laparoscopy combined with hysteroscopy in this hospital were retrospectively analyzed from January 2007 to December 2009.Results There were 39 patients with primary infertility and 53 patients with secondary infertility.The main reason of infertility was pelvic diseases(93.5% ).In the pelvic diseases,the common causes included pelvic adhesion(31 cases,33.7% ),obstruction of oviduct(24 cases,26.1% ),endometriosis(10 cases,10.9% ),and endometrial polyp(8 cases,8.7% ).Twenty-four patients with obstruction of oviduct were treated with hysteroscopy conducting unipolar electrocoagulation tool,20 fallopian tubes were unobstructed.The recover rate was 66.7% .All the patients received follow-up by 6-12 months,and the pregnancy rate was 19.6% (18/92).Out of these 18 patients,15 patients were intrauterine and 3 extrauterine.Conclusion Laparoscopy combined with hysteroscopy can find out the exact reasons of infertility and offer the respective treatment,and be a reliable method to diagnose and treat infertility patient.