电视腹腔镜术对输卵管性不孕诊治的价值

目的：探讨电视腹腔镜术对输卵管性不孕诊断和治疗的价值。方法：输卵管性不孕患210例，经电视腹腔镜行粘连分离，输卵管矫形，造口术及通液术，追踪患术后1年受孕的情况。结果：子宫输卵管造影诊断输卵管通畅的假阴性率为5．43％（10／184），术中诊断为生殖道结核3例；输卵管周围炎80例，输卵管卵巢周围炎73例，输卵管积水54例，后三中120例（57．1％）是由盆腔炎所致，87例（41．4％）由盆腔子宫内膜异位症所致。术后一年受孕率；输卵管和卵巢周围炎为50．9％（78／153），输卵管积水为5．6％（3／54），。结论：电视腹腔镜术对输卵管性不孕患在明确病因的同时，能对因治疗，提高受孕率。

The value of laparoscopy in the diagnosis and treatment of infertility caused by fallopian tube factors

Objective To study the value of laparoscopy in the diagnosis and treatment of infertility caused by fallopian tube factors. Methods 210 cases of infertility women caused by fallopian tube factors were studied in terms of adhesiolysis,fallopian tube plasty,fenestration,and patency test were performed.The pregnancy rate was followed up for one year. Results The false negative rate in the diagnosis of fallopian tube patency was 5.43% by hysterosalpingography.It was found that there were 3 cases of genital tract tubercle,80 cases of fallopian tube inflammation,73 cases of inflammation of fallopian tube and overy and 54 cases of hydrosalpingix.Of the later 3 kinds,pelvic inflammation was found to be responsible for 120 cases(57.1%),pelvic endometriosis for 87 cases(41.4%).The pregnancy rate after one year was 50.9%(78/153)for inflammation of fallopian tube and ovary,5.6%(3/54)for hydrosalpingix,respectively. Conclusions Laparoscopy helps to clarify infertility caused by fallopian tube factors,and to improvel the effect of treatment and pregnancy rate.