摘要
目的探讨腹腔镜手术在女性不孕症诊治中的临床价值,为尚未应用腹腔镜或尚未将腹腔镜应用于女性不孕症诊治的广大医疗机构提供诊疗依据。方法 102例确诊为女性不孕症的患者均行腹腔镜入体探查及对症治疗,术中取病理样本送检行病理确诊。统计和分析腹腔镜下患者不孕的诱发因素并进行比较,所有患者随访18个月以上,了解治疗情况。结果继发性有孕患者盆腔炎的发生率明显高于原发性有孕患者,多囊卵巢综合征发生率明显低于原发性不孕症,差异有统计学意义(P<0.05)。在各类不孕的诱发因素中,盆腔炎发生率最高,占48.04%,与其他诱发原因比较差异具有统计学意义(P<0.05),其次是子宫内膜异位症,发生率占28.43%,与其他诱发原因比较差异具有统计学意义(P<0.05)。患者98例(随访率96.08%)随访18～36个月,妊娠65例(72次),妊娠率达63.73%。结论腹腔镜可提高女性不孕症的诱发原因检出率,对临床确诊以及尽早制定合理可行的治疗方案、改善妊娠具有重要意义。
Objective To investigate the clinical value of laparoscopy in the diagnosis and treatment of female infertility, and to provide references for the application of laparoscopy. Methods One hundred and two females diagnosed as infertility were treated by laparoscopy and corresponding treatments. Pathological samples were collected during the surgery and analyzed for pathological diagnosis. Predisposing factors for female infertility were analyzed. All the patients were followed up for over 18 months. Results The incidences of pelvic inflammatory disease and polycystic ovary syndrome in the secondary pregnant patients were significantly higher than those in the primary pregnant patients （P0.05）. Among the predisposing factors for infertility, pelvic inflammatory disease has the highest incidence （accounting for 48.04%）, followed by endometriosis （28.43%）, both showing statistically significant difference with other factors （P0.05）. Ninety-eight of the 102 patients （96.08%, 98/102） were followed up for 18～36 months. During the follow-up, 65 patients （a total of 72 times） were found with pregnancy, with the pregnancy rate of 66.33%. Conclusion Laparoscopy can improve the detection rate of the predisposing factors for female infertility, which has great significance in the clinical diagnosis of female infertility, the development of reasonable and viable treatment programs, and the improvement of pregnancy.
出处
《海南医学》
CAS
2012年第22期76-77,共2页
Hainan Medical Journal
关键词
腹腔镜手术
女性不孕症
临床诊治
价值
Laparoscopy
Female infertility
Clinical diagnosis and treatment
Value
