输卵管性不孕的腹腔镜诊治

Laparoscopic diagnosis and treatment of tubal infertility

目的:观察腹腔镜手术对输卵管性不孕症的诊断与治疗效果。方法:对122例不孕症患者行腹腔镜联合宫腔镜检查与手术,视术中情况行粘连松解术、输卵管造口术或输卵管伞端成形术,经宫颈再通液观察输卵管通畅情况。结果:122例不孕患者中输卵管因素所占比例最高,共239条输卵管,112条阻塞,术后42条通畅,手术成功率39.25%(42/107)。结论:输卵管因素是女性不孕的重要原因之一,腹腔镜手术成功率高,对治疗输卵管性不孕症具有重要的临床意义。

Objective：To observe the diagnosis and treatment effect of laparoscopic surgery on tubal infertility. Methods： Combination of hysteroscopy,laparoscopy and surgery was performed for 122 infertile patients,who underwent lysis of adhesions,salpingostomy or fimbrioplasty based on the intraoperative condition,then the patency of fallopian tube was observed by re-hydrotubation through cervix. Results： In the 122 infertility patients,the proportion of the factor of fallopian tube was the highest. There were 239 fallopian tubes in total,112 occluded,after surgery 42 of them were unobstructed and achievement ratio of surgery was 39.25%（42 /107）. Conclusions： Fallopian tube factors play an important role in the incidence of infertility and the success rate of laparoscopic surgery is high,laparoscopy has importantly clinical significance in the treatment of tubal infertility.