腹腔镜对102例女性不孕症诊治的评价分析  

Evaluation of laparoscope used in diagnosis and treatment of women with sterility.

作　　者：刘晓英[1] 王爱玲[1] 石紫云[1] 于翠革[1] 

机构地区：[1]陕西省人民医院,陕西西安710068

出　　处：《中国优生与遗传杂志》2008年第7期108-109,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨腹腔镜检查术对女性不孕症的诊治价值。方法回顾性分析腹腔镜检查的102例女性不孕症患者(术后随访2年),对腹腔镜诊治的结果进行评价。结果镜下诊断盆腔各种病变101例(99.02%),未发现异常1例(0.08%)。其中输卵管因素54例,子宫内膜异位症34例,卵巢异常8例,子宫异常5例,其他1例。术后随访2年,其妊娠率分别为:输卵管异常31.50%(17/54),子宫内膜异位症38.24%(13/34),卵巢异常12.5%(1/8)。结论输卵管因素和子宫内膜异位症是导致女性不孕的主要因素。腹腔镜对诊治输卵管性不孕和子宫内膜异位症,具有快速,准确,可靠,损伤小的特点。Objective： To explore the value of laparoscope in diagnosis and treatment of women with sterility. Methods： 102 women with sterility checked by laparoscope and followed up for 2 years were analyzed retrospectively to evaluate the effects. Results ： 101 cases （99. 02% ） were diagnosed as various pathological change, the other 1 case （0.08%） had not abnormity, Of 101 cases , 54 cases caused by oviduct factor, 34 cases endometrium heterotopy, 8 cases ovary factor, 5 cases womb abnormality, and lcase other factors. After followed up for 2 years, the gestation rate was respectively： oviduct factor 31, 50% （17/54） , endometrium heterotopy 38. 24% （13/34） , ovary factor 12, 5% （1/8） , Conclusion： the major causes resulting in sterility were oviduct factor and endometrium heterotopy. Laparoscopy in diagnosis and treatment of oviduct sterility and endometrium heterotopy should be a fast , accurate, reliable method with less damage.

关 键 词：不孕症 腹腔镜检查术 输卵管阻塞 子宫内膜异位症 

分 类 号：R713[医药卫生—妇产科学]