探讨腹腔镜在腹茧症合并不孕中的应用和地位。

对2008年10月至2011年10月广东省妇幼保健院在腹腔镜手术中发现的7例腹茧症合并不孕患者进行总结分析（本研究遵循的程序符合广东省妇幼保健院人体试验委员会制定的伦理学标准，得到该委员会批准，征得受试对象知情同意，并与之签署临床研究知情同意书）。

7例患者中有6例为原发不孕，1例为继发不孕。7例患者在全身麻醉下行腹腔镜手术，其中5例患者因子宫及附件被纤维膜覆盖，并与肠管黏连紧密，无法分离，遂关闭腹腔，建议其行体外受精-胚胎移植(IVF-ET)。2例患者行双侧附件黏连分离及输卵管造口术。7例患者中1例失访，2例经过IVF-ET受孕，1例自然受孕，3例目前尚未孕。

腹腔镜技术可以提高腹茧症合并不孕的诊断率。腹腔镜的精细操作及放大效应，可以最大限度分离包裹及黏连带，游离出输卵管和卵巢。腹腔镜手术在该病中显示出明显优势，为不孕症患者提供了自然受孕机会。

To study the role of laparoscope in abdominal cocoon merger of infertility.

A total of 7 cases of abdominal cocoon merger of infertility treated in our hospital from October 2008 to October 2011 were reviewed. The study protocol was approved by the Ethical Review Board of Investigation in Human Beings of Guangdong Women and Children Hospital. Informed consent was obtained from each participating patient.

Among 7 patients of 6 cases were primary infertility, 1 case was secondary infertility, and all patients received the laparoscopic operation. During the surgery, 5 patients were found that the abdomen and pelvis were filled with multiplayer fibrous tissue and enveloped. It was difficult for the operator to separate them, the other 2 were received salpingoplasty and adhesiolysis. Of them, 2 patients were pregnant by in vitro fertilization-embryo transfer (IVF-ET) , 1 case was natural conception and 3 cases were not pregnant yet.

Laparoscope plays a important role in the abdominal cocoon merger of infertility. It provides a opportunity for natural conception in infertility patients.