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为确定女性不孕输卵管—腹膜性因素的频率、揭示疾病经过的特点及内腔镜手术治疗效果,选择年龄19~41岁不孕妇女5 376例为研究对象。均经临床—实验室检查并在全麻下按通常方法进行内窥镜检查,用Hulka分类法评定盆腔器官粘连性病变播散程度及输卵管状态。内腔镜手术术式选择取决于病变的特点,输卵管卵巢粘连性病变行粘连松解术,输卵管通过性障碍行输卵管造口术和伞松解术,若同时合并子宫内膜异位、子宫和卵巢肿瘤、多囊卵巢等病变时同时行相应手术处理。获得资料经电子计算机行统计学处理。
To determine the frequency of female tubal-peritoneal infertility, revealing the characteristics of the disease and the effect of endoscopic surgical treatment, 5 376 infertile women aged 19-41 years were selected as the research object. All patients were clinically and routinely examined by endoscopy under general anesthesia, and the extent of disseminated pelvic organ adhesions and tubal status were assessed by Hulka classification. Endoscopic surgical choice depends on the characteristics of the lesion, tubal adhesions ovarian adhesions lysis, tubal sexual obstruction tubal ostomy and umbrella release surgery, if combined with endometriosis, uterine and endometrial Ovarian cancer, polycystic ovary and other lesions at the same time the appropriate surgical treatment. Information obtained by the electronic computer processing statistics.