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目的 :应用腹腔镜诊断技术 ,评价腹腔镜诊断不育症的价值。方法 :采用德国 Storz型腹腔镜 ,对 916例不育症妇女的盆腔疾病和不育的影响进行分析。结果 :916例妇女中 837例 (91.37% )找到了盆腔疾病的病因。盆腔粘连、子宫内膜异位症和输卵管炎是引起不育症的主要盆腔疾病。除宫内膜异位症外 ,原发不孕症中 ,又以内生殖器官发育异常、盆腔结核、多囊卵巢多见。继发不孕症以盆腔粘连、输卵管炎多见。继发不孕组中 ,有宫腔操作史占 98.40 %。结论 :应用腹腔镜诊断技术对不育症的诊断价值在于能早期明确不育症盆腔病因 ,可在直视下通液 ,动态观察输卵管通畅度和形态 ,并对由于盆腔疾病所引起的不育症的预后影响作出一定判断
Objective: To evaluate the value of laparoscopic diagnosis of infertility by laparoscopy. METHODS: The effects of sterility and pelvic disease in 916 infertile women were analyzed using German Storz type laparoscopy. Results: Of the 916 women, 837 (91.37%) found the cause of pelvic disease. Pelvic adhesions, endometriosis and salpingitis are the major pelvic diseases that cause infertility. In addition to endometriosis, the primary infertility, but also to genital dysplasia, pelvic tuberculosis, polycystic ovary more common. Secondary infertility to pelvic adhesions, salpingitis more common. Secondary infertility group, a history of intrauterine operation accounted for 98.40%. Conclusion: The diagnostic value of laparoscopic diagnosis of infertility lies in the early identification of pelvic etiology of infertility, the ability to pass through under direct vision, the dynamic observation of tubal patency and morphology, and pelvic disease caused by infertility The prognosis of the disease to make some judgments