女性不育症的腹腔镜检查结果分析

目的：应用腹腔镜技术，分析女性不孕症的盆腔因素。方法：采用德国Wolf型腹腔镜，对336例女性不孕症患者进行检查分析。结果：336例中299例（90％）找到了明显的盆腔原因，无论是原发不孕还是继发不孕，盆腔炎是引起不孕的主要疾病，盆腔子宫内膜异位症是引起不孕的第二位原因。以慢性盆腔炎引起输卵管阻塞率最高，占91．4％（160／175）。与盆腔炎比较，子宫内膜异位症则很少引起输卵管阻塞（P＜0．01）。结论：应用腹腔镜技术能早期明确女性不孕症的盆腔原因，腹腔镜直视下行输卵管通美蓝液，较其它方法更能准确地观察输卵管的通畅度，形态及功能；对临床上无症状的子宫内膜异位症的诊断，分期和及时治疗都有重要的价值。

Analysis on the laparoscopic result in female infertility

Objective To analyze the pelvic factors of fema le infertility with laparoscopy. Methods The relationship between pelvic diseases and infertile female patients of 336 cases examined with German Wolf-type laparoscopy was analyzed. Results 299 of 336 cases (9 0%) had pelvic factors. Whatever it was in primary infertility group or seconder y infertility group, chronic pelvic inflammatory disease (PID) was the major cau se of female infertility. Endometriosis (EMS) was the second. Chronic pelvic inf lammatory disease was the main one leading to tubal obstruction (91. 4%) compared to EMS which lead to tube obstruction in less chance (P<0.01). Co nclusion The diagnostic value of laparoscopy in female infertility is tha t it can define the pelvic causes of infertility early, investigate the patent d egree, shape and function of the fallopian tube under the direct observation by hytrotubation. Laparocopic examination is valuable in diagonosis, stage and trea tment of EMS without clinical symptom.