Laparoscopy in the Treatment of Infertility Caused by Fallopian Tube Lesions

Objective To evaluate the efficacy of laparoscopy in the treatment of infertility caused by fallopian tube lesions.Methods Laparoscopy was performed in 145 cases of infertility patients to define the etiology, and appropriate operative procedures were adopted at the same time. Results Pelvic adhesions existed in 123 patients, which accounted for 84.8% of all the cases. Among them, chronic pelvic inflammatory diseases were found in 86 patients, causing proximal tubal obstruction (38/86,44.2%), distal tubal obstruction (38/86,44.2%), and total tubal obstruction (10/86,11.6%). Pelvic endometriosis were found in 37 cases, causing proximal tubal obstruction (30/37, 81.1 %), and distal tubal obstruction (7/37, 18.9%). After laparoscopic operations, tubal obstructions resulting from chronic pelvic inflammatory diseases decreased from 65.1% to 20.9%, while tubal obstructions resulting from pelvic endometriosis decreased from 24.3% to 8.1%.Conclusion Pelvic lesions ( especially tubal lesions ) can be identified through laparoscopy in the treatment of infertility. Appropriate operative procedures may help to recover the normal anatomic structures in the pelvis so as to recover the fertility of the patients.