腹腔镜在输卵管性不孕症诊疗中的作用和意义(附253例病例分析)妇产科学专业论文.docxVIP

宁夏医科大学硕士研究生学位论文中文摘要 宁夏医科大学硕士研究生学位论文 中文摘要 II II 的准确性不及腹腔镜检查,对盆腔及输卵管因素的不孕首先行腹腔镜检查明确诊断，缩 短治疗的时间。 关键词 腹腔镜，输卵管性不孕症，子宫输卵管碘油造影 宁夏医科大学硕士研究生学位论文英文摘要 宁夏医科大学硕士研究生学位论文 英文摘要 III III Value of Laparoscopy Detection in Diagnosis and Treatment of Tubal Factor Infertility (enclosed analysis of 253 female patients with infertility under laparoscopy detection and hydrotubation) ABSTRACT Objective To investigate the cause of infertility and evaluate the clinical diagnostic value of laparoscopy in diagnosis of infertility. Methods A retrospective study in January 2005 ~ March 2010 in Ningxia Medical University Hospital, Analyze the relationship between pelvic disease and infertility in 253 female patients with laparoscopy and laparoscopic operation. （1）Calculate rate of success， positive examination，and incidence of complication of laparoscopy to evaluate efficacy and security of it. （ 2 ） Comparison of hysterosalpingography （ HSG ） and laparoscopy examination in the detection rate of oviduct; evaluation of laparoscopy in the diagnosis of oviduct.（3）Analyze the distributed feature of oviducal diseases of infertile patients. Results （1）Among 253 cases, 253 patients （successful rate of laparoscopy was 100%） were examined successfully; 242 of 253 cases （95.65%）had pelvic disease. There was no concurrent disease during the examination. （2）103 of 253 infertile patients received HSG before laparoscopy examination at most a year （198 fallopian tubes were examined totally）. There are 101 patients? results are sameness, 51.01%. Fake positive rate of fallopian tube block by HSG is 24.75%.（3）Pelvic inflammatory disease, endometriosis and polycystic ovarian syndrome （PCOS）were major causes resulting in infertility, approximately 81.82%, 30.30% and 17.58% respectively. There were 88.89% patients with pelvic inflammatory disease and 26% with endometriosis presented fallopian obstruction，there were significant differences（P0.05）. Pelvic inflammatory disease in primary infertility and secondum