182例不孕妇女腹腔镜诊断结果分析

目的:探讨腹腔镜检查对不孕妇女盆腔因素的诊断价值。方法:对1998~2004年因不孕症在我院行腹腔镜检查患者182例进行分析。结果:盆腔炎、子宫内膜异位症分别占53.8%和29.1%,输卵管阻塞占35.2%,镜下输卵管阻塞与术前比较诊断符合率为82.7%。其余镜下诊断分别为:多囊卵巢、盆腔结核、卵巢肿瘤、盆腔瘀血和正常盆腔。盆腔炎在继发不孕妇女中发生率高,药物流产引起的输卵管阻塞发生率比人工流产高。腹腔镜下行盆腔粘连松解术,其复通率为59.2%。结论:盆腔炎、子宫内膜异位症是不孕患者最常见的盆腔因素。药物流产造成的盆腔炎和输卵管阻塞发生率较人工流产高,应引起重视,腹腔镜下对不孕妇女的盆腔因素诊断有极大的价值。

Diagnosis and Analysis on 182 Cases of Infertile Women Under Pelviscopy

Objective:To investigate the diagnosis value of pelviscopy on infertile women pelvic factors.Methods:Study laparoscopic surgeries on 182 infertile women in the hospital from 1998 to 2004.Results:The pelvic inflammatory disease,Endometriosis occupy respectively 53.8% and 29.1%,the fallopian tube obstruct is 35.2%.match rate of fallopian tube obstruct under pelviscopy comparing with diagnosis before operation is 82.7%.the rest of the diagnosis are polycystic ovary(pcos),pelvic tubercle,ovary tumor,pelvic blood clot and the normal pelvic.Incidence rate of pelvic inflammatory disease is high in secondary infertility women,the salpingemphraxis caused by medicine miscarriage is high than that caused by induced abortion.Pelviscopy descend lysis of pelvic adhesions ambicommunicate rate is 59.2%.Conclusion:The most common pelvic factors of infertile women are pelvic inflammatory disease and endometriosis.The pelvic inflammatory disease and fallopian tubes jam result from medicine miscarriages is higher than that caused by induced abortion.It should be paid attention to,because pelviscopy has big value on the pelvic factors of infertile women.