腹腔镜手术诊治女性不孕112例临床研究

【目的】探讨腹腔镜手术在诊断和治疗女性不孕中的价值。【方法】回顾性分析112例不孕症患者行腹腔镜术检查及治疗的临床资料。【结果】慢性盆腔炎盆腔粘连、子宫内膜异位症和多囊卵巢综合征是引起女性不孕最常见原因,腹腔镜和子宫输卵管碘油造影(HSG)在判断输卵管通畅程度方面有显著差异(P<0. 05),腹腔镜手术治疗单纯盆腔粘连、子宫内膜异位症和多囊卵巢综合征可获得理想效果,受孕率分别达57. 1% (12 /21)、52. 2% (12 /23)和53. 8% (7 /13)。【结论】腹腔镜手术可明确诊断女性不孕的病因,并能同时采取相应治疗,从而提高受孕率。

Efficacy of Laparoscopy in Diagnosis and Treatment of 112 Patients with Infertility

To assess the efficacy of laparoscopy in diagnosis and treatment of women with infertility.Retrospective analysis of 112 women with infertility underwent laparoscopic operation according to the laparoscopic findings.Pelvic adhesion, endometriosis and polycystic ovarian syndrome were common causes of infertility. There was significant difference in diagnosis of fallopian tube patency between laparoscopy and hysterosalpingography(HSG).After laparoscopic operation, the pregnancy rates were 57.1%(12/21)in the simple pelvic adhesion group, 52.2%(12/23)in the endometriosis group ,and 53.8%(7/13)in the polycystic ovarian syndrome group ,respectively.Conclusion]Laparoscopy helps to clarify causes of infertility and to improve the effect of treatment and pregnancy rate.