腹腔镜对不孕症患者盆腔疾病的诊治价值

The value of laparoscope in the diagnosis and treatment of sterility

目的 探讨腹腔镜对不孕症患者盆腔疾病的诊治价值。方法 将213例不孕症患者分为原发不孕组和继发不孕组,均住院行腹腔镜检查及输卵管通液,根据病变作相应治疗,其中182例术前行B超下子宫输卵管碘油造影(HSG),比较HSG与腹腔镜下通液检查的结果。结果 两组患者的子宫内膜异位症、慢性盆腔炎的患病率间差别均有显著性意义(P<0.05);腹腔镜下输卵管通液与B超下子宫输卵管碘油造影符合率为79.77％。结论 不孕症的盆腔病变大多数是慢性盆腔炎或子宫内膜异位症,B超下子宫输卵管碘油造影可用于腹腔镜手术的术前预测。

Objective To study pelvic disease in patient with sterility and the significance of hysterosalpingography and laparoscope in the diagnosis of pelvic diseases in sterility. Methods 213 patients were divided into primary and secondary sterility group, the laparoscope examination and tubal instilation were carried out in all the patients, 182 out of 213 cases was carried out hysterosalpingography (HSG) before laparoscope examination. The surgery were carried out according to the laparoscope examination, the results of lubal instillation and HSG were compared. Results The morbidity of chronic pavic disease ( PID) and endometriosis was significantly different between secondary sterility group and the primary sterility group ( P < 0. 05 ). The corresponded rate in the diagnosis of tuba] unobstructed and obstructed was 79. 77% between the tubal instilation under laparoscope and hysterosalpingography under ultrasound. Conclusion Most of the pelvic disease in sterility were chronic PID and endometriosis. Hysterosalpingography can be used for laparoscopic preoperation evaluation.