腹腔镜在诊治继发不孕中的应用

Application of laparoscopy to secondary infertility

目的 :探讨腹腔镜诊治继发不孕的效果。方法 :回顾分析腹腔镜诊断治疗继发不孕 16 0例的临床资料。结果 :16 0例中 2例因盆腔粘连严重 ,镜下无法暴露子宫、输卵管而中转开腹 ,余均在腹腔镜下完成 ,术中无并发症 ,术后 1例心律失常。结论 :腹腔镜用于继发不孕的诊治 ,能直观盆腔脏器 ,及时判断各脏器的病变性质及程度 ,有助于查明原因 ,且创伤小 ,患者易接受 ,是目前诊断继发不孕原因的良好方法。

Objective:To explore the effect of laparoscopy diagnosing and treating secondary infertility.Methods:The clinical data of 160 cases of secondary infertility were analyzed.Results:2 of 160 cases were serious pelvic adhesion,with uterus and fallopian tube unexposed,and they were converted to laparotomy.158 cases were operated with laparoscopy,no complication occured except for one arrhythmia cordis.Conclusions:Viscera in pelvic cavity can be seen clearly by laparoscopy. The character and degree of pathological changes can be judged in time,which is helpful to find the cause instead of abdominal operations with less wound and easily accepted by patients.Laparoscopy is a better way to diagnose and treat the secondary infertility.