腹腔镜在诊治女性不孕症中的应用

目的 :应用腹腔镜技术 ,探讨腹腔镜在女性不孕症诊治中的价值。方法 :回顾性分析 2年间应用腹腔镜诊治女性不孕症 119例临床资料。结果 :119例中盆腔粘连 5 0例 ,输卵管炎 2 9例 ,子宫内膜异位症 18例 ,多囊卵巢综合征 12例 ,术后妊娠率分别为 5 7.4 7% ,4 1.2 2 % ,6 6 .6 6 % ,5 8.33%。盆腔粘连、输卵管炎、子宫内膜异位症是引起女性不孕症的主要盆腔病因。常规输卵管通液术存在假阳性、假阴性。镜下对输卵管炎进行界定。结论 :应用腹腔镜技术能早期、直观、准确地明确不孕症盆腔病因并予以针对性治疗。并在直视下通液 ,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

Pratice of Diagnosis and Treatment of femaie infertility by Laparoscopy

Objectives:To study the value of laparoscopy in diagnosis and treatment of female infertility.Methods:119 cases of female patients with infertility during two years were analyzed retrospectivily.Results:In these patients,50 cases had pelvic adhesion,29 cases had salpingitis,18 cases had endometriosis,and 12 cases had polycystic ovary.The pregnancy rates were 57.4%,41.22%,66.66%,and 57.47% respectively after laproscopic surgery.Pelvic adhesion,aslpingitis,and endometriosis were the major cause of female infertility.There was false positive or negative value of hydrotubationm(HS).But laparoscopy can definitely confirm it.Conclusions:laparoscopy can earlier,directly find out the reason of infertility which caused by pelvis disease,to provide timely therapy,to investigate the shape and the patent of fallopian tube under the directly dynamic observation,and to reduce the false positive or negative rates of HS.