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目的观察腹腔镜术治疗不孕症的临床效果。方法不孕患者150例,其中输卵管近端堵塞35例行镜下输卵管插管通液术,输卵管远端堵塞、积水48例行腹腔镜下输卵管伞端分离或造口术;子宫内膜异位症患者67例,施行腹腔镜下卵巢内膜异位囊肿剥除术57例,盆腔腹膜后型异位病灶切除术10例。随访观察术后疗效及受孕情况。结果 83例输卵管阻塞患者术后输卵管复通率为94.0%(78/83);67例子宫内膜异位症患者术后痛经症状均缓解。142例随访2年,受孕率57.0%(81/142)。结论腹腔镜手术治疗可大大提高输卵管阻塞和子宫内膜异位症的治愈率。
Objective To observe the clinical effect of laparoscopic treatment of infertility. Methods 150 cases of infertility patients, including proximal tubal obstruction 35 cases underwent tubal catheterization through the tube, the distal tubal obstruction, hydronephrosis 48 cases of laparoscopic tubal umbrella side separation or ostomy; endometrium Sixty-seven patients with symptomatic disease underwent laparoscopic removal of ovarian endometriosis cyst in 57 cases and pelvic retroperitoneal ectopic resection in 10 cases. Follow-up observation of postoperative efficacy and conception. Results The postoperative fallopian tube recanalization rate in 83 patients with tubal obstruction was 94.0% (78/83). The postoperative dysmenorrhea symptoms in 67 patients with endometriosis were relieved. 142 cases were followed up for 2 years, the pregnancy rate was 57.0% (81/142). Conclusion Laparoscopic surgery can greatly improve the cure rate of tubal obstruction and endometriosis.