腹茧症合并不孕七例临床分析

目的探讨腹茧症合并不孕的病因和诊治方法。方法对1996年至2005年因不孕施行腹部手术中发现的7例腹茧症患者进行回顾性分析。结果7例患者均为原发、管性不孕。其共同特点为,术中见多重疏松、灰白色的纤维膜状组织包裹于肠管间隙及盆腔脏器,手术分离困难。结论腹茧症引起的不孕可能为纤维膜包裹输卵管,使其丧失活动度,伞端封闭,无法完成捡拾和输送卵子的功能或包裹卵巢,使其排卵障碍而不能受孕。术后"假性囊肿"或"包裹性积液"易复发。

Clinical analysis of abdominal cocoon complicated with irfertility in 7 cases

Objective:To explore the characteristic and treatment of the abdominal cocoon complicated with infertility.Methods:Seven cases of abdominal cocoon treated on the belly operation from 1996 to 2005 were retrospectively reviewed.Results:Of the 7 patients all with primary and tubal infertility.We found the common characteristic,during the surgery it was found that the abdomen and pelvis were filled with multiplayer fibrous tissue which envelope.It is difficult for the operation to separate.Conclusion:Abdominal cocoon maybe cause oviduct or ovary function obstacle,which induce to infertility.Easy to erupt simultaneously "the fasle cyst" or "the accumulated liquid with parcel" after the operation.