不育症腹腔镜检查50例分析

目的通过腹腔镜检查,探讨不育妇女盆腔器质性改变,为治疗不育提出依据。方法把50例排除男方不育因素、子宫因素、内分泌疾病因素不育妇女分为原发不育和继发不育两组,全麻腹腔镜检查观察盆腔器质性改变,同时术中经宫腔注入美兰观察双侧输卵管通畅情况。结果镜下双侧输卵管粘连继发不育组发生率62.5%,明显高于原发不育组的11.5%;慢性盆腔炎继发不育组发生率41.7%,明显高于原发不育组的7.7%;继发不育组输卵管通畅度低于原发不育组。子宫内膜异位症在不育妇女中总发生率较高,占46%,但两组间无显著差异。结论原发不育以非卵管因素为主,继发不育以卵管因素为主。在诊治不育妇女时,要考虑子宫内膜移位症存在。

Analysis of 50 Sterility Cases Observed under Celioscope

Objective To probe the changes of pelvis cavity through celioscope so as to provide basis for sterility treatment.Methods Fifty sterility women excluding those due to sterility of husband,uterus and internal secretion were selected and divided into two groups: primary cases and secondary cases.The changes in pelvis cavity and Fallopian tubes were observed with celioscope.Results Incidence of secondary sterility caused by both Fallopian tubes conglutination was 62.5%,obviously higher than that in primary sterility group(11.5%).Incidence of secondary sterility caused by chronic inflammation of pelvis cavity was 41.7%,obviously higher than that in primary sterility group(7.7%).The main reason for secondary sterility was related to Fallopian tubes and the main reason for primary sterility was not related to Fallopian tubes.The prevalence of endometriosis was high(46%).There was not significant difference between the two groups.Conclusions Primary sterility was not caused by fallopian tubes and secondary sterility was mainly caused by fallopian tubes.Endometriosis should be considered in woman sterility diagnosis.