Clinical Analysis of 174 Infertility Patients Diagnosed and Treated Using a Combination of Laparoscopy and Hysteroscopy

Objective To explore the clinical value of laparoscopic surgery combined with hysteroscopy in diagnosis and treatment of infertility.Methods We retrospectively analyzed the clinical data about 174 patients who received treatment for infertility based on a combination of laparoscopy and hysteroscopy in No.2 People's Hospital of Xiangtan from June 2007 and February 2010.The causes of infertility were discussed and the postoperative pregnancy rate was counted.Results The top four contributors to women's infertility were chronic pelvic inflammatory disease(PID),endometriosis,endometrial intraepithelial neoplasia(EIN),and polycystic ovary syndrome(PCOS).Primary infertility differed from secondary infertility in etiological factors.The leading contributor to secondary infertility was chronic PID,while the causes of primary infertility were varied.After the operation,85 patients had uterine pregnancy,representing a pregnancy rate of 48.85%.Another 62 patients became pregnant within 4 to 12 months after the operation,with a pregnancy rate of 72.94%.Conclusions The operation that combines laparoscopy and hysteroscopy enables obstetricians to visually and accurately understand the causes of infertility associated with pelvic cavity and uterus,fully assess the factors that lead to infertility,and diagnose and treat the disease.To summarize,hysteroscopy helps significantly increase the reliability and effect of treatment in complex hysteroscopy operations and hysteroscopy-guided interventional therapies.This approach can be widely used in clinical applications.