【摘要】 目的 观察腹腔镜应用在女性继发不孕症诊治中的价值。方法 回顾性分析本院自1999 年8月至2008年12月间237例女性不孕症患者应用腹腔镜诊治的临床资料。对其病因进行分析;对应用腹腔镜联合检查、及B超检查结果的阳性率进行比较;观察术后输卵管的通畅情况。结果 女性继发不孕原因主要有慢性盆腔炎、子宫内膜炎等。腹腔镜检查阳性率明显高于B超检查。对于输卵管不通患者应用腹腔镜下输卵管通液治疗,手术前、后输卵管通畅率差异具有统计学意义。结论 应用腹腔镜诊治术能早期、直观、准确、全面地了解不孕症在盆腔方面的病因,并予以针对性治疗。

    【关键词】不孕症; 腹腔镜; 输卵管通液术; 输卵管疏通术

    Application of laparoscopy in the diagnosis and treatment of secondary infertility

    CHEN Xiaorui,CAI Qiu-eYAN Jie-wen.Departmetn of Gynecology,Liaobu Hospital in Dongguan City,Guangdong 523400,China

    【Abstract】 Objective To evaluate the efficacy of laparoscopy in the diagnosis and treatment of secondary infertility.Methods 237 infertile women who underwent laparoscopy were restrospectively studied.Results The main reason for secondary infertility were pelvic inflammatory disease and endometritis.The ratio of positive findings of laparoscopy was significant higher than that of B mode ultrasonography ......