腹腔镜在诊治不孕症中的应用

目的 :探讨应用腹腔镜在诊断和治疗不孕症方面的价值。方法 :回顾性分析 16 5例不孕症患者行腹腔镜检查时观察到的盆腔情况 ,从而查找不孕的病因 ,并在镜下进行相关的治疗。结果 :慢性盆腔炎是引起不孕症的主要病因 (占 38.8% ) ,其次是子宫内膜异位症 (占 18.8% )及多囊卵巢 (占 13.3% )。 16 5例患者中有 15 0例 (占 90 .9% )在镜下明确诊断 ,72例未明原因患者有 5 7例查明病因 ,78例患者经治疗后受孕 (占 4 7.3% )。结论 :腹腔镜在不孕症的诊治过程中起重要作用 ,它不仅能直视盆腔全貌 ,迅速作出诊断 ,而且能同时进行治疗 ,创伤小 ,术后恢复快。

LAPAROSCOPY IN THE DIAGNOSIS AND THERAPY OF INFERTILITY

Objective:To investigate the diagnostic and therapeutic value of laparoscopy in patients with infertility. Methods:A retrospective analysis of 165 infertility patients who had accepted examination and correlative treatment under laparoscope. Results:The first cause of infertility is chronic pelvic inflammatory disease(38.8%), the second cause is endometriosis(18.8%) and polycystic ovary(13.3%). One handred and fifty of 165 patients(90.9%) were obtained final diagnosis, and 57 of 72 patients which unclear causes had found etiological factors under laparoscope. Seventy-eight patients(47.3%) had been pregnant after treatment.Conclusion: The laparoscopy is an important method in the diagnosis and treatment in infertility patients, it can not only diagnose the causes of infertility quickly but also treat them directly. The patients recover fast for the tiny trauma.