论文部分内容阅读
目的 :探讨和评价腹腔镜技术对输卵管性不育的诊断价值 ,为指导女性不育症的治疗提供依据。方法 :于腹腔镜下对 2 5 6例怀疑输卵管性不育患者进行研究 ,进行输卵管美蓝通液 ,观察输卵管的病变形态和功能 ,并与术前输卵管通液试验结果相比较。结果 :根据腹腔镜下输卵管的病变形态及通畅度情况可将输卵管通畅度分为四型。输卵管病变中慢性盆腔炎占 4 9.3 % ,子宫内膜异位症占 3 4.0 % ,盆腔结核占 4 .7%。继发不孕中输卵管梗阻率为 82 .5 % ,原发不孕中输卵管梗阻率为 73 .1% ,P >0 .0 1。总的梗阻率为 79.2 % ,与术前输卵管通液术的相等率为 83 .0 %。结论 :腹腔镜能较准确地证明价输卵管的结构和功能 ,并能进行镜下的手术操作 ,对输卵管不育具有很好的诊治价值。
Objective: To investigate and evaluate the value of laparoscopy in the diagnosis of tubal infertility and provide the basis for the treatment of female infertility. Methods: Totally 256 cases of suspected tubal infertility were studied by laparoscopy. The tubal methionine was used to observe the morphology and function of the tubal lesion. The results were compared with the results of tubal fluid-passing test before operation. Results: According to the laparoscopic tubal lesion morphology and patency, tubal patency can be divided into four types. Tubal disease in chronic pelvic inflammatory disease accounted for 4 9.3%, endometriosis accounted for 4.0%, pelvic tuberculosis accounted for 4.7%. The incidence of tubal obstruction in secondary infertility was 82.5%, and the incidence of tubal obstruction in primary infertility was 73.1%, P> 0. The total obstruction rate was 79.2%, which was 83.0% identical to preoperative tubal fluid. Conclusion: Laparoscopy can more accurately prove the price of tubal structure and function, and can be operated under the microscope, tubal infertility has a good diagnosis and treatment value.