Anwary S A, Alfazzaman M, Nasreen Z A
Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Mymensingh Med J. 2011 Jul;20(3):391-6.
Sub-fertility affects approximately 15% of couples. Approximately 40% of cases involve a male factor, 40% involve a female factor and the remainder involves both sexes. The polycystic ovary syndrome (PCOS) is one of the most common causes of sub-fertility due to anovulation in women. Treatment of sub-fertility in female partners mainly depends on the laparoscopic findings of patients with PCOS, pelvic inflammatory disease (PID), endometriosis and fibroid uterus. Between February 2007 and April 2009, 73 subfertile women with PCOS were evaluated on their laparoscopic findings in a tertiary hospital in Dhaka city. Mean±SD age was 28.55±3.98 years and primary sub-fertility was 68.5% vs. secondary 31.5% (p<0.01). In most cases, uterine size and position was normal (91.8%, p<0.001 and 89%, p<0.001) and 78.1% mobile. In most of the cases pouch of douglas was normal (78.1%, p<0.001) and adhesion absent (72.6%, p<0.001). In majority of the cases both right and left fallopian tubes were patent (80.8% vs. 75.3%) and ovary healthy (65.8% vs. 64.4%). Positive dye test of right and left fallopian tubes was significantly high (p<0.001). Careful evaluation of laparoscopic findings, are likely to help appropriate treatment modalities for desired outcome.
不孕症影响约15%的夫妇。约40%的病例涉及男性因素，40%涉及女性因素，其余涉及男女双方。多囊卵巢综合征（PCOS）是女性无排卵导致不孕症最常见的原因之一。女性伴侣不孕症的治疗主要取决于多囊卵巢综合征、盆腔炎（PID）、子宫内膜异位症和子宫肌瘤患者的腹腔镜检查结果。2007年2月至2009年4月，在达卡市一家三级医院对73例患有多囊卵巢综合征的不孕妇女进行了腹腔镜检查结果评估。平均±标准差年龄为28.55±3.98岁，原发性不孕症占68.5%，继发性不孕症占31.5%（p<0.01）。在大多数情况下，子宫大小和位置正常（91.8%，p<0.001和89%，p<0.001），78.1%可活动。在大多数情况下，Douglas陷凹正常（78.1%，p<0.001）且无粘连（72.6%，p<0.001）。在大多数情况下，左右输卵管均通畅（80.8%对75.3%）且卵巢健康（65.8%对64.4%）。左右输卵管的染料试验阳性率显著较高（p<0.001）。仔细评估腹腔镜检查结果可能有助于采用适当的治疗方式以获得理想的结果。
