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女性因素是导致不孕的主要原因,主要包括:输卵管病变、子宫内膜异位症、卵巢病变及不明因素等。在排除男性不育后,对女性相关因素不孕的诊断及治疗尤其重要。腹腔镜在不孕症诊治中有重要的作用,但辅助生殖技术(ART)的出现及迅速发展使腹腔镜的地位和作用受到挑战和质疑。影响不孕症诊治的因素很多,对不同原因引起不孕的诊断及治疗有不同意见。就腹腔镜与ART在输卵管因素不孕、子宫内膜异位症相关不孕、特发性不孕及多囊卵巢综合征诊治中的一些争议综述。
Female factors are the main causes of infertility, including: tubal disease, endometriosis, ovarian lesions and unknown factors. In the exclusion of male infertility, the diagnosis and treatment of infertility related factors of women is particularly important. Laparoscopy plays an important role in the diagnosis and treatment of infertility. However, the emergence and rapid development of assisted reproductive technology (ART) has challenged and questioned the status and role of laparoscopy. Factors affecting diagnosis and treatment of infertility many different causes of infertility diagnosis and treatment have different views. Laparoscopy and ART in tubal infertility, infertility related to endometriosis, idiopathic infertility and polycystic ovary syndrome diagnosis and treatment of some controversy.