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目的:评价经阴道注水腹腔镜术(THLsc)和标准腹腔镜术(Lsc)在不孕症中的临床应用价值。方法:对88例不孕症患者施行THLsc,观察患者输卵管的通畅性、盆腔病变情况,对需行Lsc诊治的患者,行Lsc诊治。记录2种腹腔镜检查的符合率、术中及术后并发症情况。结果:88例患者THLsc穿刺成功率为94.32%。83例经THLsc检查的患者中,盆腔检查结果正常者39例(46.99%),44例盆腔检查结果有异常(53.01%)。术后需要进一步施行Lsc手术的患者32例(38.55%),其中2种检查方法结果的符合率为87.5%。在术后疼痛方面,THLsc组明显优于Lsc组(P<0.01)。结论:THLsc是一种更加快速、准确、微创、安全的检查方法,可作为女性不孕症患者的早期检查方法,对有盆腔明显病变者,应进行Lsc手术。
Objective: To evaluate the clinical value of transvaginal laparoscopy (THLsc) and standard laparoscopy (Lsc) in infertility. Methods: Thirty-eight infertile patients underwent THLsc to observe the tubal patency and the pelvic lesions. The Lsc patients underwent Lsc diagnosis and treatment. The coincidence rate, intraoperative and postoperative complications of the two kinds of laparoscopy were recorded. Results: The success rate of THLsc puncture in 88 patients was 94.32%. Of 83 patients with THLsc, 39 (46.99%) had normal pelvic examination and 44 (53.01%) had abnormal pelvic examination. Thirty-two patients (38.55%) required further Lsc surgery after operation, of which the coincidence rate of the two methods was 87.5%. In postoperative pain, THLsc group was significantly better than Lsc group (P <0.01). Conclusion: THLsc is a quick, accurate, minimally invasive and safe examination method, which can be used as an early check-up method for female infertility patients. For patients with significant pelvic lesions, Lsc surgery should be performed.