| ObjectiveWith the continuous development of China's economic level, people's living standards continue to improve at the same time, food safety, environmental pollution, accelerated pace of life, increasing work pressure and so on all kinds of issues are also increasingly prominent, people's living standards rising at the same time, fertility has gradually decreased, infertility increasing number of couples, infertility serious impact on the lives of couples of reproductive age and work, we combined surgery by laparoscopy in female infertility retrospective analysis to analyze the causes of infertility patients of infertility and provide some valuable treatment programs to reduce the incidence of infertility, increase the chances of pregnancy in patients with infertility. MethodsThe group of 200 cases, aged between 23 to 41 years, mean 31.5 years. Infertility for 2 to 10 years, an average of 4.8 years. 56 cases of primary infertility, secondary infertility, 144 cases(22 cases had fertility, pregnancy up to 4 times, 96 cases of pelvic operation history). All patients were confirmed by gynecological examination, B-gynecology, basic endocrine, immune antibodies and husband semen routine examination, exclusion of other infertility factors. 6 cases of removal side of the tube(4 cases of ectopic pregnancy, 2 cases of ovarian cyst torsion). 98 cases(including 2 cases of ectopic pregnancy cut side of the tube) had performed the surgery hysterosalpingography(hysterosalpingography, HSG) angiography, tubal patency display 116, barrier 52, passable 26. All patients before and after surgery were palace, laparoscopic tubal surgery, tubal patency understand. Finally, the diagnosis and treatment of infertility Laparoscopy combined with traditional treatment methods, such as tubal, B ultrasound and hysterosalpingography examination were compared. ResultsHysteroscopy Combined with Laparoscopy cause of female infertility for pelvic inflammatory disease, uterine factors, endometriosis, polycystic ovary syndrome, benign ovarian tumors. Found 178 cases of laparoscopic pelvic diseases, hysteroscopy intrauterine lesions found in 22 cases, Laparoscope lesions were found in 8 cases, depending on the circumstances of each inspection laparoscopic lysis of pelvic adhesions 146 cases, the fallopian tubes and plastic manufacturing 10 cases of oral surgery, 40 cases of pelvic endometriosis lesions fulguration 16 cases of polycystic ovarian drilling technique, ovarian cyst excision in 8 cases, 6 cases of myomectomy; hysteroscopic septum transurethral resection surgery in 10 cases, submucosal myomectomy in 6 cases, 4 cases of intrauterine adhesions decomposition, endometrial polyp resection in 2 cases. 98 cases of 194 former tubal surgery hysterosalpingography examination showed nowhere(52) or through the poor(26), Laparoscope combined liquid through microscopic examination confirmed that blocking 34, 14 passable, 30 tubal patency of false positive results in hysterosalpingography check in.ConclusionsTraditional treatment methods, such as tubal infertility, B ultrasound and hysterosalpingography inspection, there are certain limitations. Hysteroscopy Combined with Laparoscopy surgery overcome only a single method of diagnosis of infertility is not comprehensive enough shortcomings can be more comprehensive understanding of the situation of female genital mutilation, and also at the same time in the endoscopic treatment, to obtain a better diagnosis and treatment effect. Therefore, we recommend not checking for through other clear cause of infertility or older patients who should be preferred palace, abdominal endoscopic joint examination to confirm the cause of timely treatment as soon as possible. |
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