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目的分析不孕症患者经腹腔镜诊断病因及治疗后的妊娠情况。方法 123例不孕症患者经腹腔镜诊断及治疗,分析不孕病因后行腹腔镜手术,去除不孕病因后随访患者妊娠情况。结果不孕症病因主要是盆腔炎、输卵管炎和子宫内膜异位症。术后子宫内膜异位症妊娠率为57.7%,多囊卵巢综合征流产率为42.9.%,输卵管炎异位妊娠率为42.9.%,均显著高于其他不孕症患者(P<0.05)。随访2年,总妊娠率为38.2%,第一年妊娠率为30.1%;第二年妊娠率为11.6%,差异有统计学意义(P<0.01)。结论腹腔镜诊断不孕病因明确,去除病因后第一年妊娠率高,尤其适用于子宫内膜异位症患者。
Objective To analyze the causes of laparoscopic diagnosis of infertility and the pregnancy status after treatment. Methods 123 cases of infertility patients diagnosed and treated by laparoscopy, analysis of causes of infertility laparoscopic surgery, remove the cause of infertility follow-up of patients with pregnancy. Results The main causes of infertility pelvic inflammatory disease, salpingitis and endometriosis. The postoperative pregnancy rate of endometriosis was 57.7%, polycystic ovary syndrome miscarriage rate was 42.9%, tubal ectopic pregnancy rate was 42.9%, were significantly higher than other infertility patients (P <0.05 ). The follow-up of 2 years, the total pregnancy rate was 38.2%, the first year pregnancy rate was 30.1%; the second year pregnancy rate was 11.6%, the difference was statistically significant (P <0.01). Conclusion Laparoscopic diagnosis of infertility causes clear, the first year after removal of the cause of pregnancy rate is high, especially for patients with endometriosis.