腹腔镜在慢性输卵管炎所致不育诊治中的应用  

Application of laparoscopy in diagnosis and treatment of infertility caused by chronic tubal inflammation

作　　者：章汉旺[1] 施静[1] 朱桂金[1] 靳镭[1] 岳静[1] 刘群[1] 李舟[1] 林华[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《生殖医学杂志》2004年第4期202-204,共3页Journal of Reproductive Medicine

摘　　要：目的　探讨腹腔镜手术治疗慢性输卵管炎所致不育的效果及输卵管病变程度等对术后妊娠率的影响。　方法　经腹腔镜诊治的慢性输卵管炎所致不育 15 2例 ,根据术中所见将输卵管病变程度分为轻、中、重三度 ,随访术后妊娠情况。　结果　 15 2例中随访 86例 ,术后妊娠 34例 ,妊娠率 4 0 % ,异位妊娠 3例 ,流产 5例 ,校正妊娠率为 30 %。输卵管轻度病变者术后妊娠率 6 1% ,明显高于中、重度病变者。不育年限在 1～ 2年者术后妊娠率 6 7% ,明显高于 >2年者。　结论　腹腔镜手术治疗慢性输卵管炎所致不育的术后妊娠率与输卵管病变程度及不育年限有关。Objective: To evaluate the effectiveness of the laparoscopy for the treatment of infertility caused by chronic tubal inflammation and the influence of the degree of tubal lesion on the postoperative pregnancy rate. Methods:One hundred and fifty-two cases who were diagnosed by laparoscopy as infertility caused by chronic tubal inflammation were recruited. The degree of tubal lesion was classified into mild,moderate and severe. The information of their postoperative pregnancy was collected and analyzed.Results: Eighty-six of 152 cases were followed-up. Among them,34 cases were pregnant,including 3 ectopic pregnancies and 5 spontaneous abortions. The postoperative pregnancy rate was 40% (34/86),and the correction pregnancy rate was 30% (26/86). As to the patients with mild tubal lesion,postoperative intrauterine pregnancy rate was 61% (11/18) and significantly higher than that with moderate and severe tubal lesion. The postoperative pregnancy rate of patients being infertile for 1～2 years was 67% (12/18) and significantly higher than that being infertile for more than 2 years.Conclusion: The postoperative intrauterine pregnancy rate of the chronic tubal inflammation-caused infertile women treated by laparoscopy was influenced by the degree of tubal lesion and pelvic adhesions.

关 键 词：腹腔镜 不育症 输卵管炎 

分 类 号：R71[医药卫生—妇产科学]