摘要
目的 :评价腹腔镜诊治不孕症的临床价值。方法 :采用电视腹腔镜 ,对220例不孕症妇女的盆腔疾病和不孕的影响因素进行分析 ,并在腹腔镜下进行治疗。结果 :腹腔镜检查发现盆腔器质性病变217例 ,检查阳性率为98 6 %。子宫内膜异位症占48 2% ,慢性盆腔炎、盆腔粘连占42 7 % ,它们是引起不孕的主要盆腔疾病。原发不孕症中以子宫内膜异位症、慢性盆腔炎、多囊卵巢、盆腔结核多见。继发不孕症中以慢性盆腔炎、盆腔粘连和子宫内膜异位症多见。并在腹腔镜下进行恰当治疗。结论 :应用腹腔镜技术对不孕症的病因诊治有重要价值 ,可对不孕症患者的预后作出客观评价 ,可同时在腹腔镜下进行治疗 ,并可在直视下通液 。
Objective:To evaluate the value of the laparoscope in diagnosis and treatment of female infertility.Methods:the relationship between pelvic disease and infertility in 220 female patients with laparoscope was analyzed.Results:217 of 220 cases with infertility(98.6%) had pelvic diseases.endometriosis and Pelvic inflammatory disease/pelvic adhesions were major causes resulting in infertility.Endometriosis,Pelvic inflammatory disease,PCOS and pelvic tuberculosis were found signifecantly higher in the women with primary infertility,while pelvic inflammatory disease/pelvic adhesions and endometriosis were more popular in the women with secondary infertility.Most of the patients were treated properly under laparoscopy.Conclusions:The important value of laparoscopy in diagnosis and treatment of female infertility is that it could definite the pelvic cause,direct treatment and investigate the shape and the patent degree of fallopian under the direct dynamic observation by hytrotubation.
出处
《现代医药卫生》
2002年第4期267-268,共2页
Journal of Modern Medicine & Health
