不孕症145例腹腔镜诊治结果分析  

Analysis of the laparoscopy results of 145 cases of infertility.

作　　者：彭刚[1] 王庆一[1] 叶县宣[1] 孙晓燕[1] 汪金华[1] 

机构地区：[1]广东省珠海市妇幼保健院妇科,519001

出　　处：《中国医药》2006年第6期371-372,共2页China Medicine

摘　　要：目的探讨腹腔镜检查术对不孕症的病因诊断价值。方法回顾性分析因不孕症住院行腹腔镜检查术的145例患者的诊断及治疗情况。结果145例中,输卵管伞端闭锁或狭窄占41.4%、盆腔炎性粘连37.2%、子宫内膜异位症13.8%、子宫肌瘤7.6%;在原发不孕和继发不孕患者中,病因构成比差异无显著性(P>0.05)。结论输卵管因素和盆腔炎性粘连是女性不孕的主要因素;应用腹腔镜可一次性明确诊断,并为指导不孕症的治疗提供依据;腹腔镜检查术对女性不孕的病因诊断具有重要临床价值。Objective To explore the value of laparoseopy in etiological diagnosis of infertility. Methods The treatment and diagnosis of 145 patients with infertility undergoing laparoseopy was retrospectively analyzed. Restilts Among those cases, the blockage or stenosis of the fimbriated extremity of fallopian tube accounted for 41.4% ,pelvic inflammatory accretio was 37.2% ,endometriosis was 13.8% and hysteromyoma was 7.6% respectively. There was no significant difference between these two groups in etiological constituent ratio （ P 〉 0.05 ）. Conclusion The blockage or stenosis of the fimbriated extremity of fallopian and pelvic inflammatory aeeretio are the main factors of infertility. It is valuable to use laparoscopy to diagnose the female infertility.

关 键 词：不孕症 腹腔镜 

分 类 号：R713.7[医药卫生—妇产科学]