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目的:探讨腹腔镜对女性继发性不孕的诊断和治疗价值.方法:对136例继发性不孕妇女进行腹腔镜检查,对发现的盆腔疾病进行相应的治疗统计.结果:腹腔镜检查引发继发性不孕的盆腔器质性病变136例,检查阳性率为100.0%.其中盆腔粘连72例,占52.9%;子宫内膜异位症55例,占40.4%.盆腔粘连和子宫内膜异位症患者中分别有90.9%(72/136)和7.6%(55/136)合并有一侧或双侧输卵管梗阻.盆腔粘连患者多无急性盆腔炎病史,有61.1%(44/72)的患者没有自觉症状.其他原因引起的继发性不孕导致合并有一侧或双侧输卵管梗阻9例.结论:盆腔粘连、输卵管梗阻和子宫内膜异位症是女性继发性不孕的主要病因.腹腔镜对诊断女性继发性不孕的盆腔病因以及针对性治疗有着重要的临床价值,值得广泛推广.“,”To explore the value of lapareseope in the diagnosis and treatment of female secondary infertility. Methods: 136 secondary infertile women underwent laparescopy, the therapies of pelvic diseases detected by laparoscopy were analysed. Results: 136 cases were found with pelvic organic lesions, the positive rate was 100%. The incidences of pelvic adhesion and endometriosis were 52. 9 % (72 cases) and 40. 4% (55 cases), respectively. 90. 9% of pelvic adhesion and 7.6% of endometriesis complicated with single or bilateral obstruction of fallopian tube. 61.1% of the cases had no self-feeling symptoms. Single or bilateral obstruction of fallopian tube induced by other causes were found in 9 cases. Conclusion: Pelvic adhesion, obstruction of fallopian tube and endometriosis are the major causes of fe-male secondary infertility. Laparoscopy plays an important role in the diagnosis and treatment of female secondary infertility.