腹腔镜技术在女性不孕症诊治中的应用

目的:探讨腹腔镜诊治女性不孕症的应用价值。方法:回顾分析我院2004年12月至2007年12月应用腹腔镜诊治女性不孕症139例患者的临床资料。结果:139例中盆腔粘连55例,输卵管炎34例,子宫内膜异位症20例,多囊卵巢综合征14例,术后妊娠率分别为47.27%,41.18%,55.56%,46.15%。盆腔粘连、输卵管炎、子宫内膜异位症是引起女性不孕的主要盆腔病因。结论:应用腹腔镜技术能早期、直观、准确的明确不孕症输卵管及盆、腹腔病因并可同时予以针对性治疗,在直视下通液,动态观察输卵管通畅度和形态,大大降低了常规通液术的假阳性、假阴性率。

The application of laparoscopic technique in diagnosis and treatment of female infertility

Objective:To explore the value of laparoscopy in diagnosis and treatment of female infertility.Methods:The clinical data of 139 cases of female patients with infertility were analyzed retrospectively.Results:Among 139 cases,55 cases with pelvic adhesion,34 cases with salpingitis,20 cases with endometriosis,and 14 cases with polycystic ovary.The pregnancy rates were 47.27%,41.18%,55.56% and 46.15% respectively after laparoscopic surgery.Pelvic adhesion salpingitis and endometriosis were the major cause of female infertility.Conclusions:Laparoscopic technique can find out the reason of infertility more earlier and more directly and provide timely therapy.So it has excellent clinical effect.