CAJ | 학술논문

目的：探讨腹腔镜在不孕不育症诊治中的临床应用价值。方法回顾性分析2012年2月～2013年2月在我院应用腹腔镜诊治的150例不孕不育患者的临床资料。结果本组不孕症的主要原因是输卵管阻塞和盆腔粘连，分别占44.7%和30%；150例患者均获随访，有101例（占67.3%）患者妊娠，开始妊娠的时间于术后3个月～12个月不等；其中99例患者为宫内妊娠、2例患者为输卵管妊娠；无并发症发生。结论腹腔镜治疗不孕不育症无需开腹，具有快速、直观、方便、融诊断和治疗为一体的优点，可大大提高疾病诊断的准确性及治疗的有效性和手术的安全性，因其创伤小、并发症少且安全有效，具有重要的临床应用价值。
목적：탐토복강경재불잉불육증진치중적림상응용개치。방법회고성분석2012년2월～2013년2월재아원응용복강경진치적150례불잉불육환자적림상자료。결과본조불잉증적주요원인시수란관조새화분강점련，분별점44.7%화30%；150례환자균획수방，유101례（점67.3%）환자임신，개시임신적시간우술후3개월～12개월불등；기중99례환자위궁내임신、2례환자위수란관임신；무병발증발생。결론복강경치료불잉불육증무수개복，구유쾌속、직관、방편、융진단화치료위일체적우점，가대대제고질병진단적준학성급치료적유효성화수술적안전성，인기창상소、병발증소차안전유효，구유중요적림상응용개치。
Objective To explore the clinical application value of laparoscopy in the diagnosis and treatment of infertility. Methods In February 2012 ~ 2013 were retrospectively analyzed in our hospital in February application of laparoscopic diagnosis and treatment of the clinical data of 150 patients with infertility.Result Our group of the main causes of infertility and obstruction of fal opian tube and pelvic adhesion, 44.7% and 30% respectively; 150 patients have been fol owed up, there are 101 cases (67.3%) patients with pregnancy, pregnancy time to start in postoperative 3 months to 12 months; Among them 99 cases of intrauterine pregnancy, 2 cases of tubal pregnancy. No complication occurred. Conclusion Laparoscopic treatment for infertility, without laparotomy is fast, convenient, intuitive and it is a combination of diagnosis and treatment of advantage, can greatly improve the accuracy of diagnosis and treatment of the effectiveness and safety of the operation, because of its smal trauma, fewer complications, and is safe and effective, and has important clinical value.