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目的探讨应用腹腔镜手术诊治不孕症的临床价值。方法1997年4月至2004年3月中山市人民医院对156例女性不孕症患者行腹腔镜诊断和治疗,观察术后妊娠率。结果156例中发现盆腔病变145例,占92·9%。慢性盆腔炎是不孕症的第1位病因,继发不孕较原发不孕发生率高(P<0·01);其次为子宫内膜异位症、多囊卵巢综合征,原发不孕发生率高于继发不孕(P<0·01)。腹腔镜手术术后妊娠率为47·1%,2例发生异位妊娠。结论腹腔镜手术对女性不孕症盆腔病变的诊治具有重要的价值。
Objective To investigate the clinical value of laparoscopic surgery in diagnosis and treatment of infertility. Methods From April 1997 to March 2004, 156 cases of female infertility were diagnosed and treated by laparoscopy in Zhongshan People ’s Hospital. The pregnancy rate was observed. Results 156 cases found pelvic lesions in 145 cases, accounting for 92.9%. Chronic pelvic inflammatory disease is the first cause of infertility, secondary infertility than the incidence of primary infertility (P <0.01), followed by endometriosis, polycystic ovary syndrome, primary The incidence of infertility was higher than that of secondary infertility (P <0.01). The pregnancy rate after laparoscopic surgery was 47.1%, and 2 cases had ectopic pregnancy. Conclusion Laparoscopic surgery has important value in the diagnosis and treatment of pelvic lesions in female infertility.