腹腔镜手术在女性不孕症诊治中的价值研究

Study on the value of laparoscopy in diagnosis and treatment of female infertility

目的:探讨腹腔镜手术在女性不孕症诊断和治疗中的价值。方法:对行腹腔镜手术且完成随访的不孕症患者共507例进行病历回顾性分析。结果:507例不孕患者术后随访24个月～60个月,术后妊娠241例(其中异位妊娠16例),总妊娠率为47.5%。根据腹腔镜探查结果,盆腔正常、盆腔炎性疾病(PID)、子宫内膜异位症(EM)、其他因素患者的妊娠率分别为59.5%、37.9%、44.6%、73.2%。术前输卵管通液及造影正常者经腹腔镜探查为正常盆腔者分别为22.0%和44.7%。腹腔镜术后辅助生育的妊娠率为42.1%。结论:腹腔镜在女性不孕症的诊断和治疗中发挥了积极的作用,且有助于提高辅助生育技术的妊娠率。

Objective：To explore the value of laparoscopy in diagnosis and treatment of female infertility.Methods：507 infertile women who received laparoscopy and completed follow-up were analyzed retrospectively.Results：507 infertile women were followed up for 24～60 months after laparoscopy.241 women got pregnancy（including 16 women of ectopic pregnancy）,the total pregnancy rate was 47.5%.According to the laparoscopy results,the pregnancy rates of cases with normal pelvic cavity,pelvic inflammatory diseases,endometriosis and other factors were 59.5%,37.9%,44.6% and 73.2%,respectively;the proportions of cases with normal pelvic cavity diagnosed definitely by laparoscopy among the cases with normal results of preoperative hydrotubation and salpingography were 22.0% and 44.7%,respectively;the pregnancy rate of assisted reproduction after laparoscopy was 42.1%.Conclusion：Laparoscopy plays an active role in diagnosis and treatment of female infertility and may help to increase the pregnancy rate in assisted reproduction.