腹腔镜及抗子宫内膜抗体在子宫输卵管造影正常的不孕妇女中的应用价值  

Role of laparoscopy and anti-endometria antibody in the infertile women with normal hysterosalpingography

作　　者：古凤仪[1] 许晓清[1] 秦成路[1] 

机构地区：[1]深圳市罗湖区人民医院妇产科,广东深圳518001

出　　处：《临床和实验医学杂志》2008年第6期61-62,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨子宫输卵管造影(HSG)正常的不孕妇女再行腹腔镜检查的必要性及时机。方法回顾分析63例HSG正常的不孕妇女腹腔镜及抗子宫内膜抗体(AEMAb)的检查情况,分析镜下检查结果及与AEMAb的相关性。结果腹腔镜下正常盆腔29例,异常盆腔34例。主要病变为子宫内膜异位症,占异常盆腔的70.6%;其次为盆腔粘连,占异常盆腔的23.5%。正常盆腔的AEMAb阳性率为6.9%,异常盆腔的AEMAb阳性率为35.3%,其中子宫内膜异位症的AEMAb阳性率为45.8%,两者与正常盆腔比较差异有显著性。结论HSG正常的不孕妇女仍有行腹腔镜检查的必要性,当AEMAb阳性时应尽早行腹腔镜检查,以发现不典型内异症患者及早针对性治疗,提高妊娠率。Objective To investigate the necessity and appropriate time for laparoscopy examination in the infertile women with normal hysterosalpingography （HSG）. Methods Sixty - three cases who were judged normal by HSG were reviewed with laparoscopy and anti - endometria antibody （AEMAb）. The results of above - mentioned examination were analyzed. Results Twenty - nine cases with normal pelvic cavity and 34 cases with abnormal pelvic cavity were detected by laparoseopy. Endometriosis （24 cases, 70.6% ） and pelvic cavity adhesion （8 cases, 23.5% ） were main lesion in patients with abnormal pelvic cavity. The positive rate of AEMAb in normal pelvic cavity was 6.9% （2/29）. The positive rate of AEMAb in patients with abnormal pelvic cavity and patients with endometriosis were 35.3% （12/34） and 45.8% （11/24） respectively. There are significant differences in positive rate of AEMAb between patients with normal pelvic cavity and patients with abnormal pelvic cavity or endometriosis （ P 〈 0.01 ）. Conclusion Laparoscopy examination is necessary for the infertile women with normal HSG. When they were tested positive in AEMAb, they need accept laparoscopy examination as soon as possible for discovering atypical endometriosis and raising pregnancy rate.

关 键 词：腹腔镜 子宫输卵管造影 不孕症 抗子宫内膜抗体 子宫内膜异位症 

分 类 号：R711.6[医药卫生—妇产科学] R542.22[医药卫生—临床医学]