腹腔镜技术对女性不孕症诊治的效果观察

目的:探讨腹腔镜检查术对诊治女性不孕症的价值.方法:回顾性分析行腹腔镜检查的306例女性不孕症患者的临床资料,术后随访2年,对腹腔镜协助诊治的结果进行评价.结果:镜下诊断各种病变295例(96.40%),未发现异常11例(3.60%).其中输卵管因素204例,子宫内膜异位症65例,卵巢异常13例,子宫异常8例,其他5例.术后随访2年,其妊娠率分别为:输卵管异常38.23%(78/204),子宫内膜异位症38.46%(25/65),卵巢异常23.07%(3/13),子宫异常25%(2/8),其他20%(1/5).结论:输卵管因素和子宫内膜异位症是导致女性不孕的主要因素.腹腔镜对诊治输卵管性不孕和子宫内膜异位症,具有快速、准确、可靠及损伤小的优点.

Evaluation of laparoscope used in diagnosis and treatment of women with sterility

Objective：To explore the value of laparoscope in diagnosis and treatment of women with sterility.Methods：306 women with sterility checked by laparoscope and followed up for 2 years were analyzed retrospectively to evaluate the effects.Results：295 cases（96.40%） were diagnosed as various pathological change,the other 11cases（3.6%） had not abnormity.Of 295 cases,there were 204 cases caused by oviduct factor,65 cases endometriosis,13 cases ovary factor,8 cases womb abnormity,and 5 cases other factors.After followed up for 2 years,the gestation rate was respectively 38.23%（78/204）,38.46%（25/65）,23.07%（3/13）,25%（2/8） and 20%（1/5）.Conclu-sion：The major causes resulting in sterility are oviduct factor and endometriosis.Laparoscopy in diagnosis and treatment of oviduct sterility and endometrium heterotopy should be a fast,accurate,reliable method with less damage.