The clinical value of laparoscopy combined with hysteroscopy in the diagnosis and treatment of female infertility

Objective To investigate the laparoscopy combined with hysteroscopy in the treatment of female infertility clinical application value,provides some guidance for clinical diagnosis and treatment of female infertility.Methods 150 cases of female infertility patients using laparoscopy combined with hysteroscopy in the diagnosis and treatment in our hospital from June 2009 to June 2012 were retrospectively analyzed,and the causes,diagnosis and clinical treatment effect was observed.Results Chronic pelvic inflammatory disease,endometriosis,polycystic ovaries,pelvic tuberculosis and genital development abnormality were the main reason for female infertility;76 cases of chronic pelvic inflammatory disease,accounting for 50.7%,secondary infertility was more than the original infertility,there are statisti cal differences(P 0.05);endometriosis was in 32 cases,accounting for 21.3% ;polycystic ovary was in 18 cases(12.0%),15 cases of pelvic tuberculosis,accounting for 10.0% ;genital abnormalities was in 9 cases,accounting for 6.0%;the incidence of secondary infertility was higher,there was statistical differences(P 0.05);treatment by laparoscopy combined with hysteroscopy,60 patients with postoperative pregnancy,the pregnancy rate was 40.0%,ectopic pregnancy occurs in 9 cases(6.0%).Conclusion Laparoscopy combined with hysteroscopy in the diagnosis and treatment of female infertility can improve diagnosis rate significantly,and can effectively improve the postoperative pregnancy rate,has important clinical value.