【摘要】 目的　探讨腹腔镜手术治疗输卵管远端阻塞性不孕症的效果及影响疗效的因素。　方法　回顾分析 1999年 1月～ 1999年 12月接受腹腔镜手术的不孕症患者 113例 ,术后随访妊娠情况。　结果　输卵管远端阻塞性不孕 6 4例 ,占 5 6 6 % ,随访 4 6例 ,妊娠 10例 ,术后妊娠率 2 1 7%。粘连松解后伞端正常、输卵管通畅者妊娠率 4 7 4 % ,若行腹腔镜下输卵管造口术 ,2 6例无一例妊娠。　结论　腹腔镜手术治疗输卵管远端阻塞性不孕症对输卵管周围粘连者效果较好 ,但用电凝方法行输卵管造口术则无效更多还原

【Abstract】 Objective To study efficacy and its affected factors of laparoscopic treatment for infertility caused by distal tubal obstruction. Methods 113 infertile patients with occlusive distal tubal disease received leparoscopic surgery from January to December 1999.The postoperative pregnancy rate was observed. Results Occlusive tubal disease was presented in 64 cases (56.6%),Among them 46 cases had been followed up and 10 cases (21.7%) obtained interuterine pregnancy.The pregnancy rate of normal fimbria and unobstructed tube after lysis of periadnexal adhesion was 47.4%,26 cases of laparoscopic salpingostomy had no pregnancy. Conclusions laparoscopic surgery may be effective in the treatment of periadnexal adhesions in tubal infertility,and had no effect in salpingostomy.更多还原