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目的:探讨腹腔镜下输卵管通液对输卵管性不孕(TFI)的诊断价值。方法:对168例不孕症女性进行腹腔镜下盆腔探查和输卵管通畅检查,分析盆腔疾病与不孕症的关系,随访2年并记录其妊娠情况。结果:盆腔炎和子宫内膜异位症是引起输卵管不孕的主要盆腔疾病;盆腔炎的输卵管梗阻率为91.35%,显著高于子宫内膜异位症患者(21.05%)和正常盆腔患者(11.11%),差异均有统计学意义(P<0.05);腹腔镜与输卵管通液检查输卵管通畅度符合率为70.24%;术后妊娠86例,妊娠率68.8%。结论:腹腔镜下输卵管通液检查具有评估输卵管通畅度及疏通的双重功效,可作为不孕症患者的首选检查方法。
Objective: To investigate the value of laparoscopic tubal fluid in the diagnosis of tubal infertility (TFI). Methods: 168 cases of infertility women underwent laparoscopic pelvic exploration and tubal patency examination, analysis of pelvic disease and infertility relationship, followed up for 2 years and record the pregnancy. Results: Pelvic inflammatory disease and endometriosis were the main pelvic diseases causing tubal infertility. The tubal obstruction rate of pelvic inflammatory disease was 91.35%, which was significantly higher than that of endometriosis patients (21.05%) and normal pelvic patients 11.11%), the difference was statistically significant (P <0.05). The coincidence rate of laparoscopic and tubal patency in examining tubal patency was 70.24%. The postoperative pregnancy was 86 cases and the pregnancy rate was 68.8%. Conclusion: Laparoscopic tubal fluid examination has the dual effect of assessing tubal patency and clearing, which can be used as the first choice of infertility patients.