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chronic salpingitis is the main cause of tubal pregnancy.

慢性输卵管炎为输卵管妊娠的常见原因。

Not only mechanical block induced by salpingitis but also local related-implantation factors may be one main cause of TP.

输卵管妊娠并非单纯由慢性输卵管炎诱发的机械性狭窄引起,局部着床相关因子表达的改变是另一重要的因素。

Results:Among 139 cases,55 cases with pelvic adhesion,34 cases with salpingitis,20 cases with endometriosis,and 14 cases with polycystic ovary.

结果:139例中盆腔粘连55例,输卵管炎34例,子宫内膜异位症20例,多囊卵巢综合征14例,术后妊娠率分别为47.27%,41.18%,55.56%,46.15%。

The causes of repeat ectopic pregnancy resulted from salpingitis or persistency ectopic pregnancy.

本病的发病与输卵管炎症及前次异位妊娠有关。

Some cases villous height edema and trophoblast cells of the apparent proliferation.conclusion chronic salpingitis is the main cause of tubal pregnancy.

部分病例绒毛高度水肿,滋养叶细胞明显增生。结论:慢性输卵管炎为输卵管妊娠的常见原因。

About half of ectopic pregnancies occur because of an identifiable lesion such as chronic salpingitis from pelvic inflammatory disease or adhesions from appendicitis, endometriosis, or previous laparotomy .

大约有一半的异位妊娠是由于盆腔炎性疾病而引起的慢性输卵管炎、阑尾炎、子宫内膜异位症或是由于曾做过剖腹手术而引起的。

objective:to explore the value of laparoscopy in diagnosis and treatment of female infertility.methods:the clinical data of 139 cases of female patients with infertility were analyzed retrospectively.results:among 139 cases,55 cases with pelvic adhesion,34 cases with salpingitis,20 cases with endometriosis,and 14 cases with polycystic ovary.the pregnancy rates were 47.27%,41.18%,55.56% and 46.15% respectively after laparoscopic surgery.pelvic adhesion salpingitis and endometriosis were the major cause of female infertility.conclusions:laparoscopic technique can find out the reason of infertility more earlier and more directly and provide timely therapy.so it has excellent clinical effect.

目的:探讨腹腔镜诊治女性不孕症的应用价值。方法:回顾分析我院2004年12月至2007年12月应用腹腔镜诊治女性不孕症139例患者的临床资料。结果:139例中盆腔粘连55例,输卵管炎34例,子宫内膜异位症20例,多囊卵巢综合征14例,术后妊娠率分别为47.27%,41.18%,55.56%,46.15%。盆腔粘连、输卵管炎、子宫内膜异位症是引起女性不孕的主要盆腔病因。结论:应用腹腔镜技术能早期、直观、准确的明确不孕症输卵管及盆、腹腔病因并可同时予以针对性治疗,在直视下通液,动态观察输卵管通畅度和形态,大大降低了常规通液术的假阳性、假阴性率。

The awareness of tubal micro-environment material changes will help to control salpingitis, tubal infertility, tubal pregnancy and other diseases,and then improve the success rate of IVF in vitro fertilization.

认识输卵管微环境物质的变化,有助于中西医防治输卵管炎、输卵管性不孕、输卵管妊娠等疾病。

Results: 326 tubal pregnancy, 111 ruptureed corpus luteum, 56 acute pelvic inflammatory disease, 76 turn round of ovarian cyst, 53 ruptured endometriosis cyet of ovary, 5 perforation of uterus, 3 hemorrhagic salpingitis. 664 patients were succsssfully managed by laparoscopy.

结果:362例输卵管妊娠、111例黄体破裂、56例急性盆腔炎、76例卵巢囊肿蒂扭转、53例巧克力囊肿破裂、5例子宫穿孔、3例出血性输卵管炎,662例成功进行腹腔镜手术治疗,中转开腹4例。

P<0.01. Conclusion Conservative treat-ment and inflamed salpinx are risk factors of recurrent ectopic pregnancy. Shanghai Med

保守性治疗与输卵管炎症是重复异位妊娠的危险因素。

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