腹腔镜诊治女性不孕症86例临床报告

目的:探讨腹腔镜在原因不明女性不孕症诊治中的作用。方法:回顾性分析笔者所在医院治疗的86例不孕症患者的病历资料,47例患者为继发性不孕,39例患者为原发性不孕。结果:腹腔镜针对因输卵管因素和盆腔炎性粘连(47例,占54.7%)、子宫内膜异位症(22例,25.6%)、多囊卵巢综合征(12例13.9%)、盆腔结核(1例)、卵巢肿瘤(1例)、卵巢发育不良(1例)等因素引发的不孕症诊断阳性率(97.7%),且明确诊断后可立即行相应的腹腔镜手术治疗,术后3-24个月妊娠的26例,占36.1%。结论:腹腔镜诊断不孕症阳性率高,而且可在镜下进行针对性治疗。

Laparoscopic Diagnosis and Treatment of Female Infertility 50 Cases of Clinical Report

Objective:To explore the value of laparoscope in etiological diagnosis and treatment of unexplained infertility.Methods:The treatment and diagnosis of 86 patients with infertility,including 39 primary cases and 47secondary cases undergoing laparoscopy were retrospectively analyzed.Results:Among those cases,fallopian factor and pelvic inflammatory accretion accounted for 54.7%,endometriosis was 25.6% and PCOS was 13.9% respectively.At the same time all the cases received the treatment under laparoscopy.The pregnancy rate after operation was 36.1%(26/72) in a follow up time of 3-24 months.Conclusion:The positive rate of laparoscopic detection is quite high.It is valuable to use laparoscopy to diagnose the female infertility and give the appropriate treatment.