【摘要】 目的:探讨腹腔镜检查术对诊治女性不孕症的价值。方法:回顾性分析行腹腔镜检查的706例女性不孕症患者,术后随访2年,对腹腔镜协助诊治的结果进行评价。结果:镜下诊断各种病变692例(98.02%),未发现异常14例(1.98%)。其中输卵管因素442例,子宫内膜异位症132例,卵巢异常78例,子宫异常42例,其他12例。术后随访2年,其妊娠率分别为:输卵管异常38.91%(172/442),子宫内膜异位症39.39%(52/132),卵巢异常23.08%(18/72),子宫异常19.04%(8/42),其他16.67%(2/12)。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、可靠及损伤小的特点。更多还原

【Abstract】 Objective:To explore the value of laparoscope in diagnosis and treatment of women with sterility.Methods:706 women with sterility checked by laparoscope and followed up for 2 years were analyzed retrospectively to evaluate the effects.Results:692 cases (98.02%) were diagnosed as various pathological change, the other 14 cases (1.98%) had not abnormity.Of 692 cases, 442 cases caused by oviduct factor, 132 cases endometrium heterotopy, 78 cases ovary factor, 42 cases womb abnormality, and 12 cases other factors. After followed up for 2 years, the gestation rate was respectively 38.91% (172/442), 39.39% (52/132), 23.08% (18/72), 19.04% (8/42) and 16.67% (2/12).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.更多还原