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fu qiang jing zhi liao 237 li bu yun zheng lin chuang fen xi
Author(s): 
Pages: 494-495
Year: Issue:  5
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  腹腔镜不育子宫内膜异位症;
Abstract: 目的:探讨腹腔镜对女性不孕症患者的盆腔疾病进行诊断及治疗的价值.方法:对 237例盆腔疾病性不孕患者进行腹腔镜下诊断及治疗,分析患者不孕的原因及对其中 230例患者的输卵管进行通液,判断输卵管的通畅性.结果: 237例中除 7例中转开腹手术外, 230例不孕症患者中盆腔炎、盆腔粘连有 90(39.1% )例,子宫内膜异位症有 54(23.5% )例,多囊卵巢有 33(14.3% )例,子宫肌瘤有 21 (9.1% )例,卵巢肿瘤 24(10.4% )例,盆腔正常有 8 (3.3% ) 例.在 103例原发不孕中子宫内膜异位症占第 1位 35(15.2% )例,而在 127例继发不孕中盆腔炎、盆腔粘连占第 1位 66( 28.7%)例.原发不孕镜下术前与术后输卵管通液通畅率相比,差异有显著性, P< 0.05.继发不孕术前与术后输卵管通液通畅率相比,差异有显著性, P< 0.05.结论:腹腔镜诊断及治疗盆腔疾病性不孕是安全的、有效的.
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