腹腔镜诊治不孕症235例临床分析

目的:探讨腹腔镜在诊断和治疗不孕症方面的临床价值.方法:回顾性分析235例不孕症患者经腹腔镜诊治后妊娠情况.结果:235例中发现盆腔病变204例,占86.81%.盆腔炎是不孕的第1位病因,占43.83%(103/235),继发不孕较原发不孕发病率高(P＜0.01).之后为子宫内膜异位症和多囊卵巢综合征,分别为31.88%和48.80%,原发不孕发生率高于继发不孕(P＜0.01).腹腔镜下行输卵管通畅检查,输卵管单侧或双侧不通者138例,占58.72%.腹腔镜手术术后妊娠率为39.57%.结论:腹腔镜对女性不孕症盆腔病变的诊断和治疗具有重要的价值.

Clinical Study of Laparoscopic Diagnosis and Treatment in 235 Cases with Female Infertility

Objective:To investigate the role of laparoscopy in diagnosis and treatment of infertility women.Methods:Totally 235 infertile cases were treated with laparoscopy,and the pregnancy rate after operation were reviewed.Results:204 of 235 cases with infertility(86.81%) had pelvic diseases.Pelvic inflammatory disease was the first cause for the infertility in 103 patients(43.83%),that resulting in secondary infertility were higher than primary infertility(P<0.01).Endometriosis and polycystic ovarian syndrome were 31.88% and 48.80%,that resulting in primary infertility were higher than secondary infertility(P<0.01).138 patients with tube blockage was 58.72%.The post-operation pregnancy rate was 39.57%.Conclusion:Laparoscopy has an import value in the diagnosis and treatment of the infertility.