Kleissl H P, Christ F, Eberlein F
Geburtshilfe Frauenheilkd. 1975 May;35(5):354-9.
The clinical experience in diagnostic laparoscopy is dealt with under the conditions of the Department of Gynaecology and Obstetrics at Erlangen University. Among 700 cases the indications were infertility (34,4%), pelvic pain 27,4%), suspected ectopic pregnancy (7,9%), endocrinologic cases and malformations (18,9%), pelvic mass without symptoms (8,6%) and others (2,8%). The laparoscopic findings are shown. Important diagnostic clues otherwise missed were found in about half of the patients. In 122 women a laparotomy could be disregarded. One should be aware of diagnostic errors especially in ovarian tumors. Biopsy may help in assessment of ovarian function. In tumor diagnosis, however, it is rather dangerous. Difficulties of the methos (2,9%) and complications (1%) are discussed.
本文介绍了埃尔朗根大学妇产科进行诊断性腹腔镜检查的临床经验。在700例病例中,适应症包括不孕症(34.4%)、盆腔疼痛(27.4%)、疑似宫外孕(7.9%)、内分泌疾病和畸形(18.9%)、无症状盆腔肿块(8.6%)以及其他情况(2.8%)。文中展示了腹腔镜检查结果。约半数患者发现了一些原本可能遗漏的重要诊断线索。122名女性无需进行剖腹手术。应特别注意诊断错误,尤其是在卵巢肿瘤方面。活检有助于评估卵巢功能。然而,在肿瘤诊断中,活检相当危险。文中还讨论了该方法的困难之处(2.9%)和并发症(1%)。