腹腔镜诊治女性不孕症302例分析

Analysis of Laparoscopic Diagnosis and Treatment in 302 Cases of Female Infertility

目的:评估腹腔镜在不孕症患者盆腔疾病诊治中的作用。方法:对３０２例不孕症患者行腹腔镜检查术,动态观察输卵管通畅情况,并同时进行腹腔镜手术治疗。结果:３０２例不孕症患者中,患有盆腔疾病者２９４例,占９７．３５%,其中盆腔炎症居首位,子宫内膜异位症次之,多囊卵巢居第三位。双侧输卵管不通者盆腔炎占８１．２５%、子宫内膜异位症占１２．５０%,对输卵管远端阻塞行输卵管伞口扩张术或输卵管造口术后,输卵管恢复通畅率６４．９０%。结论:腹腔镜检查可以明确不孕主的盆腔病因,了解输卵管的通畅情况,同时进行手术治疗,大大缩短了诊断和治疗时间。

To evaluate the significance of laparoscopy in the diagnosis and treatment of female infertiligy. Methods: laparoscopy was conducted in 302 cases of infertility to dynamically examine the conditions of Fallopian tubes,and operative laparoscopy was performed simultaneously. Results: Pelvic diseases were found in 294 cases, accounting for 97.35% ,among which,pelvic inflammation diseases (PID) was the most common one,followed by endometriosis( EMS) and polycystic ovary (PCO) in order. 81. 25% of patients with obstructed Fallopian tubes in both sides were caused by PID and 12.50% by EMS. After the operations of fimbria expansion or salpingostomy, the reopen rate of Fallopian tubes was 64. 90%. Conclusion; Laparoscopy can be used to identify the pelvic diseases related to infertility,to examine the conditions of Fallopian tubes and to perform operation simultaneously, so that the time needed for diagnosis and treatment can be greatly shortened.