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目的通过腹腔镜检查了解引起不孕的原因。方法通过对79例年龄在20~39岁以不孕症疑为盆腔器质性病变的妇女进行电视腹腔镜检查,明确其病因并进行针对性治疗。结果79例患者中,经电视腹腔镜检查确诊为慢性盆腔炎32例、子宫内膜异位症18例(1例合并浆膜下子宫肌瘤),卵巢囊肿6例,泡状附件3例、结核性腹膜炎3例、卵巢排卵功能不良8例。结论对于不孕症疑为盆腔器质性病变者,必须明确病因诊断再进行针对性的综合治疗。腹腔镜技术为一种值得推荐的临床诊断治疗方法,在不孕症诊治中有一定的价值。
Objective To understand the causes of infertility by laparoscopy. Methods A total of 79 women aged 20-39 years with infertility suspected of having pelvic organic disease were examined by laparoscopy. The cause of the disease was confirmed and targeted therapy was given. Results Of the 79 patients, 32 cases of chronic pelvic inflammatory disease, 18 cases of endometriosis (1 case with subserosal uterine fibroids), 6 cases of ovarian cyst, 3 cases of vesicular appendages were diagnosed by laparoscopy. Tuberculous peritonitis in 3 cases, 8 cases of ovarian dysfunction ovulation. Conclusion For infertility suspected pelvic organic disease, we must make clear the cause of diagnosis and then targeted comprehensive treatment. Laparoscopic technology is a recommended clinical diagnosis and treatment, diagnosis and treatment of infertility have some value.