Akira S, Araki T
Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 2000 Aug;101(8):561-7.
There are three types of endoscopic surgery in obstetrics and gynecology: laparoscopy; hysteroscopy; and salpingoscopy. The main indications for laparoscopic surgery are myoma uteri, ovarian tumors, ectopic pregnancy, infertility, and endometriosis. Currently the indications are limited to benign disease. The main indications for hysteroscopic surgery are submucous myoma uteri, uterine anormalies, and Asherman syndrome. During hysteroscopy the uterine cavity is dilated with liquid and then a resectoscope or hysterofiberscope is used. Salpingoscopy is useful in examining the tubal cavity and a potent tool for tubal recanalization. Endoscopic surgical techniques will develop rapidly in the near future to serve the various needs of female patients.
腹腔镜检查；宫腔镜检查；输卵管镜检查。腹腔镜手术的主要适应症是子宫肌瘤、卵巢肿瘤、异位妊娠、不孕症和子宫内膜异位症。目前，其适应症仅限于良性疾病。宫腔镜手术的主要适应症是黏膜下子宫肌瘤、子宫异常和阿谢曼综合征。在宫腔镜检查期间，用液体扩张子宫腔，然后使用电切镜或纤维宫腔镜。输卵管镜检查有助于检查输卵管腔，是输卵管再通的有效工具。内窥镜手术技术在不久的将来将迅速发展，以满足女性患者的各种需求。
