Application of Hysteroscopy Combined with Laparoscopy in the Diagnosis and Treatment of Infertilitas Female

Objective: To evaluate the clinical value of hysteroscopy combined with laparoscopy in the diagnosis and treatment of female infertility. Methods: 60 cases of female infertility patients were diagnosed and treated by laparoscopy combined with hysteroscopy, and their clinical data were retrospectively analyzed. Results: By using laparoscopy combined with hysteroscopy, chronic pelvic diseases was the main reason of infertility. In the pelvic diseases, the common causes included pelvic adhesion(56.7%), endometriosis(16.7%) and polycystic ovary syndrome(11.7%). The diagnostic positive rate of laparoscopy was 60.0%, hysterosalpingography was 28.3%, whereas, laparoscopy combined with hysteroscopy was 91.7%, which was significantly higher than those in the laparoscopy or hysterosalpingography.. Before treatment, bilateral obstruction was found in 38.3 % cases, unilateral obstruction was found in 48.3 % cases, 13.3 % cases were dound to be unobstructed; after treatment by laparoscopy and hysterosalpingography, bilateral obstruction was found in 11.7 % cases, unilateral obstruction was found in 50.0 % cases, 38.3 % cases were dound to be unobstructed, which were significant lower or higher than that before treatment(P0.05). All the patients received follow-up by 12 months, the pregnancy rate in secondary infertility patients was57.7%, in primary infertility was 38.2%, and the total pregnancy rate was 46.7%. Out of these 28 patients, 26 patients were intrauterine and 2 were extrauterine. Conclusion: Laparoscopy combined with hysteroscopy was effective in confirming the causes of female infertility and the location of the pelvic disease. Besides, the method was one of preferred choice for female infertility, as the diseases can be treated immediately after the diagnosis and improved diagnose and cure rate for female infertility.