摘要
目的:探讨腹腔镜诊治不同病因不孕的疗效及近年治疗不孕的新进展。方法:对169例不孕患者进行腹腔镜检查、治疗的临床资料进行回顾性分析。结果:45例患者多囊卵巢综合征的体重指数与其他原因引起的不孕患者的体重指数比较,差异具有有统计学意义(P<0.05);腹腔镜下诊断为慢性盆腔62例(36.69%),术后妊娠率30%;子宫内膜异位症45例(26.62%),术后妊娠率48.89%;多囊卵巢综合征45例(26.62%),术后妊娠率66.67%;卵巢囊肿、子宫肌瘤、正常盆腔分别为9例、3例、3例,术后妊娠率分别为22.22%、33.33%、66.67%;盆腔结核2例,术后无一例妊娠。结论:体重指数对不孕有一定的影响,腹腔镜在不孕症的诊治过程中有重要作用。
Objective To investigate the role of laparoscopy in diagnosis and treatment of infertility associated different reasons. Method 169 patients of infertility experienced with laparoscopic treatment and pregnancy rates after operation were analyzed retrospectively during recent two year period. Results 45 cases of patients with polycystic ovary syndrome,body mass index compared with other causes of infertility in patients with body mass index,the difference was statistically significant（ P 〈0. 05）; laparoscopic diagnosis of chronic pelvic inflammatory disease in 62 cases（ 36. 69%）,postoperative pregnancy rate was 30%,endometriosis in 45 cases（ 26. 62%）,postoperative pregnancy rate was 48. 89%; polycystic ovary syndrome in 45 cases（ 26. 62%）,postoperative pregnancy rate was 66. 67%; ovarian cysts,uterine fibroids,normal were in 9 cases,3 cases,3 cases,postoperative pregnancy rates were 22. 22%,33. 33%,66. 67%,respectrvely. Pelvic tuberculosis in 2 cases,there were no case of pregnancy. Conclusion Body mass index have a certain impact on infertility,The important role of laparoscopy in the diagnosis and treatment of infertility.
出处
《吉林医学》
CAS
2015年第7期1318-1321,共4页
Jilin Medical Journal
关键词
腹腔镜
不孕
诊治
妊娠率
体重指数
Laparoscopic
Infertility
Diagnosis
Treatment
Pregnancy rate
Body mass index
