腹腔镜在530例慢性输卵管炎中的治疗价值

目的 探讨腹腔镜在慢性输卵管炎中的治疗价值和应用前景。方法 回顾分析我院2000年1月－2002年1月以来应用腹腔镜治疗的530例慢性输卵管炎患者，并结合临床预后对治疗效果进行评估。结果 530例患者术前输卵管通液术提示双侧输卵管通畅者65例，单侧通畅者107例，双侧通而不畅者165例，双侧均不通畅者193例；术后双侧输卵管通畅者112例，单侧通畅者122例，双侧通而不畅者157例，双侧均不通畅者139例。随访142例，宫内受孕16人、宫外孕8人。结论 腹腔镜手术可有效治疗慢性输卵管炎引起的输卵管阻塞，迅速矫治输卵管的解剖异常，但对功能的恢复疗效欠佳；对慢性输卵管炎应早期诊治。

1Clinical value of laparoscopic surgery in chronic salpingitis

Objective To evaluate the clinical value of laparosco pi c surgery in chronic salpingitis.Methods The data of 530 women wi th chronic salpingitis undergoing laparoscopic surgery from January,2000 to Janu ary,2002 were retrospectively analyzed.Results After operation, w omen with bilateral unblocked tubes increased from 65 to 112, lateral unblocked tubes added from 107 to 122,partially occluded tubes decreased from 165 to 157 a nd bilateral occluded tubes decreased from 193 to 139 in the 530 women.The Follo w-up data indicated that there were 16 women with normal pregnancy and 8 women with tubal pregnancy in the 142 postoperative women.Conclusion Th e laparoscopic surgery is a safe and effective method to quickly recover the fal lopian tube's normal structure,but weakly effect on its function.It should be pe rformed as soon as possible to the chronic salpingitis.