腹腔镜诊治不孕症89例分析

Analysis of Laparoscope Used in Diagnosis and Treatment in 89 Cases of Women with Sterility

目的:探讨腹腔镜诊治不孕症的应用价值。方法:对89例确诊为不孕症的女性患者进行腹腔镜检查,对适宜手术的病变进行相应的手术治疗。结果:腹腔镜检查发现有盆腔器质性病变84例,其中慢性盆腔粘连52例,子宫内膜异位症24例,多囊卵巢5例,良性卵巢肿瘤2例,卵巢排卵不良1例,正常盆腔5例。镜下给予粘连松解、输卵管造口、病灶清除等治疗。术后随访受孕39例(48.31%)。结论:腹腔镜诊治不孕症可以明确病因并能针对病因治疗。

Objective： To explore the value of laparoscope used in diagnosis and treatment of women with sterility. Methods： 89 women with sterility were checked with laparoscope,operated to relevant pathologic changes. Results： 84 cases （94.38%） were diagnosed as various pilvic pathologic changes, of 89 cases, 52 cases caused by chronic pelvic conglufination, 24 cases endometrium heterotopy, 8 cases ovary factor, the other 5 cases had not abnomity. The treatment is salpingolysis ,salingoplast,salpingstomy and focus eliminate. Pregnancy rate was 39/89 （48%） after the operation. Conclusion： The operation through laparoscope can find and treat the pathogeny of women with sterility and can improve the pregnancy rate.