摘要
目的:探讨腹腔镜技术对输卵管不孕的诊疗价值。方法:腹腔镜下对碘油子宫输卵管造影(HSG)怀疑输卵管病变的60例不孕患者经电视腹腔镜进行伞端成形术,输卵管造口术,粘连松解术及病灶清除等手术。结果:118条输卵管经冶疗后,64条被疏通,总有效率达71.87%,术后随访35例,14例在半年内受孕,妊娠率40%。结论:腹腔镜能全面准确地诊断输卵管的病变,并及时镜下手术治疗,在输卵管不孕方面有较高的诊疗价值。
Objective： To evaluate the importance of laparoscopy for bubal infertility. Methods： A total of 60 emale infertile patients with tubal pathology by estmate undergoing laparoscopy after hysterosalpingraphy （HSG） were included ,laparoscopy was performed as fimbrioplasty, fallostomy, adhesiolysis and focus clearance etc. Results：Out of the 118 fallopian tubes being treatde ,64 ca- ses have been dredged, the effective rate was 71.81%, 14patients became pregnant in the half year, which accounted for 40% of 35 patients follow - up. Conclusion ： The pathology of fallopian tube can be dianosed through laparoscopy in the rteatment of infertility generally. Appropriate operative procedures may creat great valre in the treatmerit of tubal inferlity.
关键词
腹腔镜
输卵管不孕
诊疗
Laparoscopy Tubal infertihty Treatment
