不孕症的腹腔镜检查及手术治疗

目的 :为探讨腹腔镜在不孕症诊治中的价值。方法 :对 6 3例女性不孕症进行了腹腔镜检查 ,并对其中的 5 5例施行了腹腔镜手术。结果 :6 0 .3 % (38 6 3)为输卵管因素 ,而输卵管因素中因盆腔炎引起的输卵管病变高达 94.7% (36 38)。其他因素为子宫内膜异位症、多囊卵巢综合征、卵巢囊肿等。HSG与输卵管腹腔镜检比较的总符合率为 71.2 1% (47 6 6 ) ,手术后输卵管通畅率比术前提高 99.6 7% (6 1.1 30 .6 % )。结论 :腹腔镜检查及手术是当前诊治女性不孕症最有效的方法 ,但手术难度大 ,手术费用较高。HSG操作简便 ,价格便宜 ,可做为腹腔镜检前的筛查。

Laparoscopic Examination and Surgery in Infertility

Objective:To study the usefulness of laparoscopic examination and surgery in infertility. Methods: 63 female infertility patients were examined with laparoscope, in which 55 laparoscopic surgeries were performed. Results: 60.3%(38/63) of cases were due to problems of fallopian tubes.The pathological changes caused by pelvic inflammation were as high as 94.7%(36/38) among fallopian tube problems. The other causes were endometriosis polycystic ovary syndrome and ovarian cysts. The according rate of HSG with the findings in the laparoscopic examination of fallopian tube was 71.21%(47/66). The fallopian tube clear rate in postoperation was 99.67%(61.1/30.6%) higher than that in preoperation. Conclusion: laparoscopic examination and surgery are the most effective methods to diagnose and treat female infertility. However, the operation is difficult and expensive. In comparison, HSG is simpler and cheaper and could be used as screen examination before the laparoscopic examination.