腹腔镜下输卵管通液对输卵管性不孕的诊断价值

目的:探讨腹腔镜下输卵管通液对输卵管性不孕(TFI)的诊断价值。方法:对168例不孕症女性进行腹腔镜下盆腔探查和输卵管通畅检查,分析盆腔疾病与不孕症的关系,随访2年并记录其妊娠情况。结果:盆腔炎和子宫内膜异位症是引起输卵管不孕的主要盆腔疾病;盆腔炎的输卵管梗阻率为91.35%,显著高于子宫内膜异位症患者(21.05%)和正常盆腔患者(11.11%),差异均有统计学意义(P<0.05);腹腔镜与输卵管通液检查输卵管通畅度符合率为70.24%;术后妊娠86例,妊娠率68.8%。结论:腹腔镜下输卵管通液检查具有评估输卵管通畅度及疏通的双重功效,可作为不孕症患者的首选检查方法。

Value of hydrotubation under laparoscope for diagnosis of tubal infertility

Objective:To explore the value of hydrotubation under laparoscope for diagnosis of tubal infertility.Methods:A total of 168 infertile women underwent pelvic cavity exploration and hydrotubation under laparoscope,then the relationship between pelvic cavity diseases and infertility was analyzed,all the cases were followed up for two years and their pregnancy conditions were recorded.Results:Pelvic inflammatory diseases and endometriosis were major pelvic diseases inducing tubal infertility.The incidence of oviduct obstruction in the infertile women with pelvic inflammatory diseases was 91.35%,which was statistically significantly higher than those in the infertile women with endometriosis(21.05%) and normal pelvic cavity(11.11%)(P<0.05).The coincidental rate was 70.24% between laparoscopy and hydrotubation;86 women got pregnancy after operation,the pregnancy rate was 68.8%.Conclusion:Hydrotubation under laparoscope can evaluate the patency of Fallopian tubes and dredge Fallopian tubes,which can be used as the first choice for infertile patients.