女性不孕症发病因素的分析

目的：探讨女性不孕症发病因素及变化。方法：对1984－1998年间3335例女性不育患者行腹腔镜检查及输卵管通液术资料进行分析。结果：原发不孕1905例，其发病因素分别为输卵管炎，子宫内膜异位症，多囊卵巢及其它类分别为41．7％，30．1％，16．8％，11．4％，其中双侧输卵管不通中结核性因素为59．6％，继发不孕1430例，其发病因素分别为45．3％，30．6％，15．0％，9．1％，双侧输卵管不通中结核性因素占22．8％（与原发不孕组有显著差异），结论：15年和管性因素一直为不孕的首要因素，并显著上升，第二位因素为子宫内膜异位症，有相对下降趋势。

Etiology of female infertility: analysis of 3 335 cases with diagnostic laparoscopy

Objective To investigate distribution pattern of the causes of female infertility. Methods The clinical data of 3 335 infertile women undergoing laparoscopic examination from January 1984 to March 1998 were retrospectively analyzed. Results Of 1 905 patients with primary infertility, 41.7% were with salpingitis, 30.1% with endometriosis, 16.8% with polycystic ovaries,and 11.4% with other diseases. In the patients with obstruction of both fallopian tubes, 59.6% was due to tuberculosis. Among 1 430 patients with secondary infertility, 45.3% were with salpingitis, 30.6% with endometriosis,15.0% with poly cystic ovaries, and 9.1% with other reasons. About 22.8% patients with bilateral tubal obstruction had tuberculosis, which was significantly different with those of primary infertility ( P <0.01). Conclusion The most common cause for female infertility is salpingitis in the past 15 years, which is increasing,and the secondary cause is endometriosis with a tendency of decrease.