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目的探讨腹腔镜在诊治输卵管因素为主的不孕症的方法、临床疗效及应用价值。方法对31例以输卵管因素为主的原发或继发性不孕患者,应用腹腔镜进行盆腔粘连分离,伞端成形或输卵管造口术及美兰输卵管通液术等治疗。结果 31例患者均于盆腔内呈现不同程度病变并实施相应的手术操作。31例中双侧输卵管梗阻12例,双侧输卵管粘连7例,一侧输卵管梗阻另一侧输卵管粘连占12例。经过本方法治疗31例患者,至今已有19例受孕(61%),正常妊娠18例,宫外孕1例,其中半年内妊娠11例(58%)。结论腹腔镜诊治输卵管因素为主的不孕症,可清楚地了解盆腔内情况,发现病变并同时进行治疗,具有可视、微创、出血少、复通率高、妊娠率高等优点,是诊治输卵管因素为主不孕症的理想途径,值得倡导临床推广应用。
Objective To explore the method, clinical efficacy and application value of laparoscopy in the diagnosis and treatment of tubal factors. Methods Thirty - one cases of primary or secondary infertility patients with tubal factors were treated with laparoscopy for pelvic adhesion separation, umbrella - shaped or tubal ostomy and meilanx tubal incision. Results All the 31 patients showed different degrees of lesions in the pelvic cavity and performed corresponding surgical procedures. In the 31 cases, 12 cases of bilateral tubal obstruction, bilateral tubal adhesions in 7 cases, tubal obstruction on the other side of the tubal adhesions in 12 cases. After the treatment of 31 patients, 19 cases of pregnancy (61%), 18 cases of normal pregnancy, 1 case of ectopic pregnancy, of which 11 cases (58%) within six months of pregnancy. Conclusions Laparoscopy diagnosis and treatment of tubal factors-based infertility, can clearly understand the pelvic situation and found lesions and treatment at the same time, with visualization, minimally invasive, less bleeding, high pass rate, pregnancy rate is higher diagnosis and treatment Tubal factors as the main route of infertility, it is worth promoting clinical application.