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31例原因不明的不育病人,年龄22～36岁,曾做过不育症基本检查,包括激素水平,证明有排卵,排卵前宫颈评分良好,子宫输卵管造影及腹腔镜检查均正常。性交后试验和精子图像正常。行诊断性腹腔镜检查时,先抽吸子宫直肠窝液体,作CA125定量测定。用稀释美蓝通液确定双侧输卵管通畅后。用蒸发美蓝行腹膜着色试验。如看到腹膜表面有脱色蓝斑者给以治疗,使用双极电凝法或CO_2激光局灶治疗。治疗时要保护两侧输尿管、髂血管、子宫动脉和直肠。治疗结束时,用温乳酸林格溶液(40～45℃)冲洗腹膜表面,清除碳化碎
31 cases of unexplained infertility patients, aged 22 to 36 years old, had done a basic examination of infertility, including hormone levels, to prove ovulation, cervical score before ovulation good, hysterosalpingography and laparoscopy were normal. Post-sex test and sperm images are normal. Line diagnostic laparoscopy, the first suction uterus rectal fossa for CA125 quantitative determination. Diluted methylene blue fluid to determine the bilateral tubal patency. Peritoneal staining with evaporation of methylene blue. As seen on the surface of the peritoneal blepharocephalus who give treatment, the use of bipolar coagulation or CO 2 laser focal treatment. Treatment to protect both sides of the ureter, iliac vessels, uterine artery and rectum. At the end of treatment, the peritoneal surface was rinsed with warm Ringer’s solution (40-45 ° C)