腹腔镜诊断和治疗女性不孕症的价值分析

目的:探讨腹腔镜对不孕症的诊断和治疗价值。方法:对132例女性不孕症患者行腹腔镜诊断和治疗,并对其资料进行分析。结果:原发不孕症与继发不孕症病因存在差异,原发不孕症主要病因为多囊卵巢综合症和盆腔炎,继发不孕症为盆腔炎和子宫内膜异位症。腹腔镜术后37.12%(49/132)受孕,其多囊卵巢综合症腹腔镜治疗明显优于药物治疗(P<0.01)。结论:盆腔炎、多囊卵巢综合症、子宫内膜异位症是女性不孕症的主要因素,应用腹腔镜可明确诊断及不孕症的盆腔病因,同时进行手术治疗,腹腔镜技术对不孕症的诊断和治疗有重要价值。

Analysis of the laparoscopic diagnosis and treatment value in female infertility

Objective: To explore the value of laparoscopic diagnosic and treatment in female infertility.Methods: 132 cases of the infertile were explored and treated by laparoscopy,the diagnostic and therapeutic effectiveness was analyzed.Results: There was significant difference between these two groups in primary and subsequent infertile patients.Among in primary infertile pantients,polycytin ovarian syndrome(PCOS)was the most common one,followed by pelvicinflammation diseases(PID).The main factors of subsequent infertile patient are pelvic inflammation deseases,endometriosis(EMC).These cases were operated by laparpscopy,the pregnant recurrence rate reached 37.12%(49/132).Polycystic ovarian syndrome was treated by paparpscopy is better than medicine(P<0.01).Conclusion: The most common factors of infertile women are pelivc inflammation diseases,polycystic ovarian syndrome and endometriosis.Laparpscopy can be used to identify the pelivic diseases relate to infertility and to perform operation simultaneously.Laparpscopy has important value diagnosis and treament in female infertility.