诊断性宫腔镜腹腔镜检查用于不孕症评估：我们在三级医疗中心的经验
Diagnostic Hysterolaparoscopy for Evaluation of Infertility: Our Experience in a Tertiary Care Hospital.
作者信息
Chanu Sairem Mangolnganbi, Rudra Pal Gouri Sankar, Panda Subrat, Santa Singh A S
机构信息
Departments of Obstertics and Gynaecology, NEIGRIHMS, Shillong, Meghalaya, India.
出版信息
J Hum Reprod Sci. 2018 Jan-Mar;11(1):19-23. doi: 10.4103/jhrs.JHRS_114_16.
Abstract
OBJECTIVE
The objective of this study is to analyze the role of diagnostic hysterolaparoscopy (DHL) for evaluation of infertility in a tertiary care hospital.
MATERIALS AND METHODS
This retrospective study was conducted from July 2014 to June 2016.
RESULTS
Out of 151 patients, 58.28% and 41.72% had primary and secondary infertility, respectively. In primary infertility group 37.5% and in secondary infertility group 49.2% had abnormal findings. Most common finding was adnexal adhesions (pelvic inflammatory disease) and laparoscopic findings were more common than the hysteroscopic ones.
CONCLUSION
DHL was helpful in finding some reversible causes of infertility such as adnexal adhesions, tubal blockade, and uterine synechiae, etc.
摘要
目的
本研究的目的是分析诊断性宫腔镜腹腔镜联合检查（DHL）在一家三级医疗机构评估不孕症中的作用。
材料与方法
本回顾性研究于2014年7月至2016年6月进行。
结果
151例患者中，原发性不孕症患者占58.28%，继发性不孕症患者占41.72%。原发性不孕症组中37.5%有异常发现，继发性不孕症组中49.2%有异常发现。最常见的发现是附件粘连（盆腔炎），腹腔镜检查发现比宫腔镜检查发现更常见。
结论
DHL有助于发现一些不孕症的可逆性病因，如附件粘连、输卵管阻塞和子宫粘连等。
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