输卵管远端阻塞的腹腔镜治疗临床分析

Clinical analysis of laparoscopic diagnosis and treatment of infertility caused by distal tubal obstruction

目的:探讨腹腔镜诊治输卵管远端阻塞的优点。方法:回顾性分析我院2004年1月至2006年4月应用腹腔镜诊治72例输卵管远端阻塞患者的临床资料。所有病例均经腹腔镜明确诊断并分期,根据分期行腹腔镜粘连松解或造口术。结果:术后总的有效妊娠率为23.8%,术后输卵管阻塞各期宫内妊娠率分别为Ⅰ期66.7%、Ⅱ期44.4%、Ⅲ期11.1%、Ⅳ期0。结论:腹腔镜对输卵管远端阻塞既可明确诊断,又能根据镜下分期进行粘连松解或输卵管造口术。

Objective： To explore the advantages of laparoscopic diagnosis and treatment of infertility caused by distal tubal obstruction. Methods：The data of 72 patients with distal tubal obstruction treated via laparoscopic technique in our hospital from January 2004 to April 2006 were analyzed. All cases were definitely diagnosed and divided into stages via laparoscopy and according to stages lysis of adhesions or ostomy was performed laparoscopically. Results：In this group total postoperative valid pregnancy rate was 23.8 %. The rate of postoperative intrauterine pregnancy was 66.7% in first stage of distal tubal obstruction,44.4% in second stage, 11.1% in third stage and 0 in fourth stage respectively. Conclusions： Laparoscopy can not only definitely diagnose distal tubal obstruction but also perform lysis of adhesions or ostomy according to stages classified by it self.