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目的探讨腹腔镜在不孕症诊治中的作用。方法对186例经腹腔镜手术诊治的不孕症患者的临床资料进行分析。结果原发不孕症72例,继发不孕症114例。年龄24~37岁。不孕年限为2~10年。其中慢性盆腔炎84例(45%),盆腔子宫内膜异位症50例(27%),多囊卵巢综合征20例(11%),卵巢良性肿瘤23例(12%),其他无病变9例(5%)。上述患者经腹腔镜手术及药物治疗后,1年内受孕49例,妊娠率为26.3%。不孕症的病程与受孕率相关。结论腹腔镜手术对于不孕症的诊治是首选的方法,具有创伤小、恢复好、术后受孕率高等特点。
Objective To explore the role of laparoscopy in diagnosis and treatment of infertility. Methods The clinical data of 186 infertility patients diagnosed by laparoscopic surgery were analyzed. 72 cases of primary infertility, secondary infertility in 114 cases. Age 24 ~ 37 years old. Infertility period of 2 to 10 years. There were 84 cases (45%) of chronic pelvic inflammatory disease, 50 cases (27%) of pelvic endometriosis, 20 cases of polycystic ovary syndrome (11%), 23 cases of ovarian benign tumors (12% 9 cases (5%). The patients after laparoscopic surgery and drug therapy, 49 cases of pregnancy within 1 year, the pregnancy rate was 26.3%. The course of infertility and pregnancy rate related. Conclusion Laparoscopic surgery for the diagnosis and treatment of infertility is the preferred method, with less trauma, good recovery, high postoperative pregnancy rate and so on.