原发性不孕合并腹茧症的诊疗分析

Diagnosis and treatmen for primary infertility complicated with abdominal cocoon

目的探讨原发性不孕合并腹茧症的临床表现和对策。方法回顾性分析3例经手术证实的原发性不孕合并腹茧症的临床资料。结果2004年1月～2007年12月对520例不孕患者行腹腔镜检查术，发现3例腹茧症。术后2例接受体外受精-胚胎移植术各1周期，1例临床妊娠中，1例失败，另1例不孕。结论腹茧症是原发性不孕的原因之一，对原发性不孕患者需考虑腹茧症的可能，属输卵管性不孕。对已手术证实合并有腹茧症者，如子宫、卵巢功能正常，最佳治疗方法是采用体外受精-胚胎移植。

Objective To explore clinical manifestation and treatmet strategy of primary infertility complicated with abdominal cocoon. Methods Clinical data of 3 cases diagnosed primary infertility complicated with abdominal cocoon by operation were retrospectively reviewed. Results Laparoscope was used to examine 520 patients with primary infertility from January 2004 to December 2007 in our hospital. 2 of the 3 patients diagnosed as abdominal cocoon were given in vitro fertilization - embryo transfer. One was pregnant and another failed. The rest one was also infertility. Conclusions Abdominal cocoon is one the reasion for primary infertility, which should not be ignored. Infertility caused by abdominal cocoon could be classified to tubal infertility. In vitro fertilization - embryo transfer could be the best treatment for infertility patients with normal uterus and ovary function complicated with abdominal cocoon.