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目的:探讨阴道注水腹腔镜(THL)检查在不孕症诊断中的应用价值。方法:选择2009年5月～2010年10月间在河北省计划生育科学技术研究院门诊就诊的不孕症患者150例,于月经干净后3～7天行THL检查,观察输卵管通畅性和盆腔情况。结果:150例行THL检查不孕症患者中有142例1次穿刺成功,成功率为94.67%,142例中发现输卵管阻塞、积水、开口狭窄等输卵管异常者共65例,占45.77%,双侧输卵管周围粘连13例,占9.15%,单侧粘连22例,占15.49%;双侧卵巢粘连15例,占10.56%,单侧粘连26例,占18.31%;盆腔粘连33例,占23.24%,子宫内膜异位症9例,占6.34%。结论:THL为观察不孕症患者盆腔结构、输卵管、卵巢周围情况以及输卵管通畅性提供了有价值的手段,该技术微创、直观、准确、安全,值得在临床推广应用。
Objective: To investigate the value of vaginal water laparoscopy (THL) in the diagnosis of infertility. Methods: From May 2009 to October 2010 in Hebei Province Institute of Family Planning Science and Technology outpatient treatment of 150 cases of infertility, menstrual clean 3 to 7 days after the THL examination to observe tubal patency and pelvic Happening. Results: One hundred and fifty-two patients with infertility were successfully punctured in one time with a success rate of 94.67%. Among 142 cases, tubal obstruction, hydronephrosis and open stenosis were found in 65 cases (45.77%), Bilateral tubal adhesions in 13 cases, accounting for 9.15%, unilateral adhesions in 22 cases, accounting for 15.49%; bilateral ovarian adhesions in 15 cases, accounting for 10.56%, unilateral adhesions in 26 cases, accounting for 18.31%; pelvic adhesions in 33 cases, accounting for 23.24 %, 9 cases of endometriosis, accounting for 6.34%. Conclusion: THL provides a valuable tool for observing pelvic structure, fallopian tube, ovarian circumferences and tubal patency in patients with infertility. This technique is minimally invasive, intuitive, accurate and safe and worthy of clinical application.