Analysis of 398 female patients with infertility under laparoscopy

To investigate the cause of infertility and evaluate the diagnostic value of laparoscopy in disgnosis of infertility. The relationship between pelvic disease and infertility in 398 female patients with laparoscopy was analyzed. 359 of 398 cases with infertility (90.20%) had pelvic diseases. Pelvic inflammatory disease? endometriosis and polycystic ovarian syndrome(PCOS) were major causes resulting in infertility, approximately 54.52%, 18.34% and 10.30% respectively. There were 91.70% patients with pelvic inflammatory disease and 20.55% with endometriosis presented fallopian obstruction. Among 398 cases, hysterosalpingraphy (HSG) was studied in 156 patients before laparoscopy, the results of 96 cases were coincident with laparoscopy, accounting 61.53%. 227 cases received vaginal ultrasonographic examination, the results of 159 cases(70.04%) were confirmed by laparoscopy. [Conclusion] The important value of laparoscopy in diagnosis infertility has been known, the morbidities of pelvic inflammatory disease and endometriosis are higher in secondary infertility than that in primary infertility. Endometriosis and PCOS are most often seen in primary infertility. The patients which are suspected with pelvic disease or with unknown infertility should be operated by laparoscopy as soon as possible.