Laparoscopic Diagnosis and Treatment of Tubal Infertility:Clinical Analysis of 58 Cases

Objective: To investigate the diagnostic value and effectiveness of treatment with laparoscopy in patients with tubal infertility. Methods: 58 patients with doubtful tubal infertility were selected and studied under laparoscopy. The morphological appearance of pelvic in infertility patients was observed and the hydrotubation was performed at the same time under laparoscopy.Results: Among of 58 cases with tubal infertility, chronic pelvic inflammatory disease occupied 51 7%, endomtriosis occupied 29 3%, polycystic ovary syndrome occupied 8 6%; pelvic tuberculosis occupied 6 9%, normal pelvic cavity occupied 3 5%. The pregnancy rates after operation was 34 5% in a follow up time of one year. According to the findings by laparoscopy, hysterosalpingography(HSG) diagnosis was correlated well in 88 8% of cases. Laparoscopic examination was more accurate than that of HSG ( P 0 01). Conclusion:Laparoscopic examination can judge accurately the tubal fabric and function and combine diagnosis with treatment.It is a minimal invasive surgery that can shorten the recover time of patients after operation. Laparoscopy appears to be a valuable way to improve the accuracy of diagnosis and effectiveness treatment of tubal infertility.