摘要
【目的】探讨腹腔镜手术对女性不孕患者的治疗效果 ,了解术后怀孕时间分布特点 ,以期指导患者进一步治疗。【方法】收集自 1997年 1月至 1998年 12月在我院接受腹腔镜手术治疗的女性不孕患者共 40 1例 ,分子宫内膜异位症、输卵管伞端闭锁、多囊卵巢综合征、子宫肌瘤和盆腔粘连组 ,追踪分析其手术后妊娠率及术后妊娠时间的分布特点。【结果】子宫内膜异位症组术后妊娠率为 5 0 0 % ;输卵管伞端闭锁组 32 9% ;多囊卵巢综合征组 5 2 8% ;子宫肌瘤组 36 0 % ;盆腔粘连组42 0 %。绝大部分妊娠 (93 0 % )在术后 18个月内发生。【结论】腹腔镜手术对不同盆腔病变引起的不孕均有一定疗效 ;手术有效者多在术后 18个月内妊娠 ,术后一定时间内不能妊娠者建议接受辅助生育治疗 ,使患者及时获得妊娠。
To assess the efficacy of laparoscopic treatment on women with infertility. Retrospective analysis of 401 women with infertility underwent laparoscopic operation according to the laparoscopic findings. The cumulative pregnancy rates were 50 0% in the endometriosis group, 32 9% in the tube obstruction group, 52 8% in the polycystic ovarian syndrome (PCOS) group, 36 0% in the uterine myoma group, and 42 0% in the pelvic adhesion group respectively. 93 0% of women became pregnant within 18 months after operation. [Conclusion] Laparoscopy is a simple, timely and effective method for the treatment of female infertility If the patient remains infertile in 12～18 months after operation, it is suggested that the patient should be treated with other assisted reproductive techniques.
出处
《中山医科大学学报》
CSCD
北大核心
2002年第4期297-299,共3页
Academic Journal of Sun Yat-sen University of Medical Sciences
关键词
外科手术
腹腔镜
不育症
女性
治疗结果
妊娠率
surgical procedures,laparoscopic
infertility,female
treatment outcome
pregnancy rate
