腹腔镜在女性不孕症诊治中的应用价值

Application of laparoscopy in diagnosis and treatment of female infertility

目的:探讨腹腔镜在不孕症诊治中的应用价值。方法:对38例不孕症患者采用腹腔镜进行盆腔病因的诊断和治疗,并评价腹腔镜和子宫输卵管碘油造影诊断输卵管通畅度的符合情况。结果:(1)38例不孕患者的不孕原因分别是:盆腔炎性疾病18例,子宫内膜异位症6例,输卵管炎5例,卵巢良性肿瘤5例,子宫肌瘤2例,盆腔结核2例;(2)在输卵管通畅度上,子宫输卵管碘油造影(HSG)与腹腔镜符合率为76.92%;(3)38例中妊娠5例。结论:腹腔镜检查及手术是当前诊治女性不孕症最有效的方法,应用腹腔镜能早期、全面、准确地评价患者盆腔状况,确定不孕原因,并可进行针对性的治疗。

Obective： To study the value of laparoscopy in diagnosis and treatment of female infertility. Methods： Thirty-eight cases of female patients with infertility during three years were analyzed retrospectively. Results： （1） In these patients, 18 cases had pelvic inflammatory disease,6 cases had endometriosis, 5 cases had ovarian cyst, 5 cases had salpingitis, 2 cases had myoma of uterus and 2 case had pelvic tuberculosis. （2） Diagnosising of uteru＇s fluent, the acordence between laparoscopy and HSG was 76.92%. （3） Among 38 cases, 5 cases become pregnant. Conclusions： Laparoscopy can earlier, directly find out the reasons of infertility and pelvic inflammatory disease and endometriosis were the two major causes of female infertility.