腹腔镜治疗输卵管性不孕41例分析

Analysis of Treatment of Salpingitis Infertility with Laparoscopy on41Cases

目的 :探讨输卵管性不孕症腹腔镜治疗的疗效。方法 :在腹腔镜下对41例输卵管性不孕患者进行伞端成形术 ,输卵管造口术及粘连分解术。结果 :64条输卵管经治疗后 ,46条被疏通 ,总有效率达71 87% ,术后随访23例 ,8例在半a内受孕 ,妊娠率34 78%。结论 :腹腔镜技术对输卵管性不孕的诊治快速有效 ,并可在直视下通液 ,观察输卵管形态及通畅度 ,作出预后判断。

Objective:To investigate the clinical effects of laparoscopy for salpingitis infertility.Methods:Using fimbrioplasty,salpingostomy and adhesiolysis in41salpingitis infertility by laparoscopy.Results:46of64salpingoes were made patent by laparoscopy surgery.Effective rate was71.87%.23cases were followed up and showed8inˉtrauterine pregnancies in half a year.Pregant rate wase34.78%.Conclusions:laparoscopy is a quicky and satisˉfactory technology for diagnose and treatment of salpingitis infertility.It and observe the shape and patent of fallopian tube by hydrotubation,which wll estimate the result of the therapy.