[经阴道水腹腔镜与宫腔镜联合应用于不孕症患者的研究]

[Study on combined transvaginal hydrolaparoscopy and hysteroscopy in patients with infertility].

作者信息

Hu Xiao-liang, Xu Hong-li

机构信息

Department of Obstetrics and Gynecology, Second Affiliated Hospital of Jinan University, Shenzhen 518020, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2004 Aug;39(8):508-10.

PMID:15363343

Abstract

OBJECTIVE

To evaluate the advantages of combined transvaginal hydrolaparoscopy (THL) and hysteroscopy in patients with infertility.

METHODS

Twenty-three primary infertile patients (primary group) and 23 secondary infertile patients (secondary group) were received THL (using a 3-mm scope with a 0 degrees lens) and hysteroscopy. The fallopian tube patency, pelvic pathology, operative time, discharge time, healing time of vaginal wound, success rate of insertion into the pouch of Douglas and intra- and postoperative complications were observed.

RESULTS

Primary group had more tube patency cases (P < 0.05) and fewer pelvic adhesion cases (P < 0.05) when compared with secondary group. Only 15.2% patients needed conventional laparoscopy postoperatively. The time of THL, overall time of operation, discharge time, and healing time of vaginal wound were respectively (10.5 +/- 1.7) min, (32.2 +/- 4.6) min, (87.3 +/- 12.5) min, and (4.5 +/- 0.5) days. No complications occurred.

CONCLUSIONS

THL is accurate, minimally invasive, safe, economical, and does not require hospitalization. It could serve as a first-line procedure in early stages of infertility investigation when combined with hysteroscopy.

摘要

目的

评估联合经阴道水腹腔镜（THL）和宫腔镜检查对不孕症患者的优势。

方法

23例原发性不孕患者（原发性组）和23例继发性不孕患者（继发性组）接受了THL（使用带0度透镜的3毫米镜）和宫腔镜检查。观察输卵管通畅情况、盆腔病变、手术时间、出院时间、阴道伤口愈合时间、Douglas窝穿刺成功率及术中和术后并发症。

结果

与继发性组相比，原发性组输卵管通畅病例更多（P < 0.05），盆腔粘连病例更少（P < 0.05）。术后仅15.2%的患者需要传统腹腔镜检查。THL时间、总手术时间、出院时间和阴道伤口愈合时间分别为（10.5 ± 1.7）分钟、（32.2 ± 4.6）分钟、（87.3 ± 12.5）分钟和（4.5 ± 0.5）天。未发生并发症。