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目的:探讨腹腔镜诊治不孕症的临床意义和疗效。方法:选取2008年8月—2009年1月入住我院的98名不孕症妇女,将其分为腹腔镜组和经腹手术组,比较两组术后妊娠情况。结果:输卵管粘连Ⅰ~Ⅲ级者,不孕时间要短于输卵管Ⅳ级的患者。腹腔镜组术后妊娠23例,其中临床正常妊娠18例,异位妊娠5例;经腹术组术后妊娠13例,其中临床正常妊娠10例,异位妊娠3例。两组输卵管粘连Ⅰ~Ⅲ级的妊娠率均明显高于Ⅳ级者,差异有统计学意义(P<0.05);两组疗效比较无显著性差异(P>0.05)。结论:腹腔镜诊治不孕症临床疗效确切,值得推广应用。
Objective: To investigate the clinical significance and curative effect of laparoscopic diagnosis and treatment of infertility. Methods: A total of 98 infertile women admitted to our hospital from August 2008 to January 2009 were divided into laparoscopic group and transabdominal group, and the postoperative pregnancy status was compared between the two groups. Results: Tubal adhesions grade Ⅰ ~ Ⅲ, infertility time shorter than tubal Ⅳ grade patients. Laparoscopic group of 23 cases of postoperative pregnancy, including 18 cases of normal clinical pregnancy, ectopic pregnancy in 5 cases; abdominal surgery group after 13 cases of pregnancy, including 10 cases of normal clinical pregnancy, ectopic pregnancy in 3 cases. The pregnancy rates of two groups of tubal adhesions grade Ⅰ ~ Ⅲ were significantly higher than those of grade Ⅳ, the difference was statistically significant (P <0.05). There was no significant difference between the two groups (P> 0.05). Conclusion: Laparoscopic diagnosis and treatment of infertility clinical curative effect is exact, it is worth popularizing and applying.