腹腔镜对322例输卵管性不孕症的诊治效果分析  

Effect of laparoscopy in diagnosis and therapy of 322 cases female infertility due to occlusion of fallopian tube

作　　者：严凤英[1] 官颖[1] 王丽[1] 王亚丛[1] 王颖佳[1] 黄萍[1] 

机构地区：[1]成都市计划生育指导所(成都市仁济医院),四川成都610031

出　　处：《中国医药科学》2011年第16期32-33,共2页China Medicine And Pharmacy

摘　　要：目的评价腹腔镜在诊治女性输卵管性不孕症中的价值。方法输卵管功能异常是本组不孕症患者的主要原因,回顾分析笔者所在医院腹腔镜检查治疗女性输卵管性不孕症350例的临床资料,随访其受孕的结局。结果腹腔镜下行盆腔及输卵管粘连分解术,输卵管伞端造口术,输卵管整形术。术后随访24个月共322例患者,141例受孕,受孕率为43.79%,自然流产9例,宫外孕19例,校正受孕率为35.09%,其中术后6个月内受孕54例(47.7%),12个月内受孕35例(31.0%),18个月内受孕15例(13.3%),24个月内受孕9例(8.0%)。结论腹腔镜是目前诊治输卵管性不孕症的有效方法,输卵管性不孕症患者腹腔镜术后应至少观察18个月(90%左右的患者可以怀孕),再行其他治疗。Obiective To assess the effect of laparoscopy in diagnosis and therapy of female infertility due to occlusion of fallopian tube. Methods The cases of infertility for adhesion of fallopian tube and chronic pelvic inflammatory disease were included in this study. The clinical data of 322 cases of infertile famales who were examined by laparoscopy were analysed retrospectively. Results Adhesiolysis of cavitas pelvis,salpingo neostomy,dilation of fallopian tube were performed by laparoscopy. 322 patients were followed up,among them 141 patients were pregnant,and the pregnancy rate was 43.79%.The number of spontaneous abortion cases was 9,and 19 patients were extrauterine pregnant,the correct pregnancy rate was 35.09%. 54 patients（47.7%） were pregnant in 6 months after laparoscopy,35 patients（31.0%） in 12 months,15 patients（13.3%） in 18 months,9 patients（8.0%） in 24 months. Conclusion Laparoscopy is the effective method for diagnosis and therapy of female infertility due to occlusion of fallopian tube,and those patients should be observed for more than 18 months after laparoscopy,then other therapeutic tools may be suggested.

关 键 词：不孕症 腹腔镜 

分 类 号：R713.7[医药卫生—妇产科学]