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目的通过腹腔镜检查,探讨不育妇女盆腔器质性改变,为治疗不育提出依据。方法把50例排除男方不育因素、子宫因素、内分泌疾病因素不育妇女分为原发不育和继发不育两组,全麻腹腔镜检查观察盆腔器质性改变,同时术中经宫腔注入美兰观察双侧输卵管通畅情况。结果镜下双侧输卵管粘连继发不育组发生率62.5%,明显高于原发不育组的11.5%;慢性盆腔炎继发不育组发生率41.7%,明显高于原发不育组的7.7%;继发不育组输卵管通畅度低于原发不育组。子宫内膜异位症在不育妇女中总发生率较高,占46%,但两组间无显著差异。结论原发不育以非卵管因素为主,继发不育以卵管因素为主。在诊治不育妇女时,要考虑子宫内膜移位症存在。
Objective To investigate the changes of pelvic organ in infertile women by laparoscopy and to provide the basis for the treatment of infertility. Methods Fifty infertile women who excluded male infertility factors, uterine factors and endocrine diseases were divided into primary infertility and secondary infertility. The patients underwent general anesthesia for laparoscopy to observe pelvic organic changes. At the same time, The cavity was injected into Meilan to observe the bilateral tubal patency. Results The incidence of bilateral tubal adhesions with secondary infertility was 62.5%, which was significantly higher than that of primary infertility group (11.5%). The incidence of secondary infertility in chronic pelvic inflammatory disease was 41.7%, which was significantly higher than that of primary infertility group Of 7.7%; secondary infertility tubal patency less than the primary infertility group. The overall incidence of endometriosis in infertile women is high, accounting for 46%, but no significant difference between the two groups. Conclusion Primary infertility is mainly non-oviduct, secondary infertility is dominated by oviduct. In the diagnosis and treatment of infertile women, we must consider the existence of endometrial displacement.