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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)

Author: LiuLiLi
Tutor: ZhangXueYu
School: Ningxia Medical University
Course: Obstetrics and Gynaecology
Keywords: Laparoscopic Tubal infertility Hysterosalpingography
CLC: R713
Type: Master's thesis
Year: 2011
Downloads: 32
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Abstract


The purpose of application of laparoscopic techniques examine pelvic anatomy and function of the fallopian tube changes, comprehensive evaluation of laparoscopic tubal infertility clinics. Methods A retrospective analysis from January 2005 to March 2010 in Ningxia Medical University Hospital gynecological laparoscopic surgery and clinical data of 253 cases, analysis of influencing factors of infertility. ① Understanding laparoscopy positive detection rate and complication rate, in order to evaluate the efficacy and safety of laparoscopy; (2) comparative study of laparoscopic tubal, tubal and pelvic hysterosalpingography (HSG) detection rate of disease screening, to explore the value of laparoscopic tubal and pelvic disease examination; ③ analyze the distribution characteristics of tubal infertility infertility patients; ④ follow-up after pregnancy rate, laparoscopic in Infertility The therapeutic value in the disease. Results (1) 253 cases of laparoscopy in patients with a success rate of 100%; discovered 242 cases of pelvic organic disease, positive detection rate was 95.65%; inspection process uncomplicated. (2) 253 patients, 103 patients (198 tubal, including eight cases of previous surgical removal of the side of the tube) line hysterosalpingography examination before surgery, and laparoscopy coincidence rate of 51.01% ( 101/198); compared laparoscopy, hysterosalpingography check, false negative rate of 24.75%. Chronic pelvic inflammatory disease, endometriosis, and polycystic ovary syndrome (3) in this group were 81.82% (135/253), 30.30% (50/253) and 17.58% (29/253); chronic pelvic inflammatory disease in 88.89% (120/135) with unilateral or bilateral tubal obstruction; endometriosis patients, 26% (13/50) tubal obstruction, a significant difference (P lt; 0.05); primary infertility and secondary infertility in patients with chronic pelvic inflammatory disease were 34.09% (30/88), 63.64% (105/165), the comparison between the two significantly different (P lt; 0.05). (4) the group of 253 patients were followed up the success of the 174 cases, after a total of 86 cases (49.43%) pregnancies. Conclusions (1) laparoscopic tubal check is one of the effective means to check the fallopian tubes; laparoscopic (2) whether the abnormal pelvic organizational structure, with or without adhesions and accurately determine the real-time dynamic tubal patency can be observed in check while feasible surgical treatment; (3) The accuracy of hysterosalpingography in the diagnosis of tubal infertility less than laparoscopy, pelvic and tubal factor infertility first laparoscopy to confirm the diagnosis, shorten treatment time.

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CLC: > Medicine, health > Obstetrics and Gynaecology > Gynecological surgery
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