【摘要】 目的 探讨宫腔镜、腹腔镜联合诊治不孕症的应用价值。 方法 采用宫腔镜、腹腔镜联合诊治不孕症患者139例。手术方法分离粘连、输卵管伞端成形术、输卵管造口术、卵巢囊肿剥离、卵巢楔形切除术、腹腔镜监视下宫腔镜检查及插管通液。 结果 手术后87例随访者，42例受孕，妊娠率48.28%，38例为宫内妊娠，4例为宫外妊娠。 结论 宫腔镜、腹腔镜联合诊治术是不孕症的有效诊治方法。

    关键词 宫腔镜 腹腔镜 不孕症

    Analysis on combined laparoscopy and hysteroscopy for diagnosing and treating infertility:139cases reports

    Zhang Qing，Shi Yongpeng，Li Li，et al.

    Maternity and Infant Health Hospital of Jiading District，Shanghai201800.

    【Abstract】 Objective The aim of this study was to investigate the usage of combined laparoscopy and hys-teroscopy for treating infertility.Methods From1997.1to2001.12，139patients with infertility were treated by surgery combined laparoscopy and hysteroscopy.The procedures included adhesion lysis，salpingoplasty，salpingostomy，excision of ovary benign tumors，wedge resection of ovary，hysteroscopic tubal catheterization and hydrotubation monitored by la-paroscopy.Results 87patients were followed up ......