Adamcio-Deptulska M, Mielnik J, Korzon T, Płoszyński A, Wójcik D, Raszczyk H, Grzybowski W
Kliniki Rozrodczości, Instytut Połoznictwa i Chorób Kobiecych Akademii Medycznej w Gdańsku.
Ginekol Pol. 1992 Nov;63(11):578-82.
Over the period of 25 years, 1080 pelvic endoscopy in infertile women were performed, with special attention payed to the pathology of Fallopian tubes. Pelvic endoscopy was performed after previous HSG. During the pelvic endoscopy, the state of the uterus, ovaries and uterine tubes were evaluated, with much attention paid to the condition of the abdominal ostium of the uterine tube, symptoms of active and chronic inflammation, endometriosis, the authors also tried to diagnose the extension and character of pelvic-salpingian adhesions. Confrontation of the results enabled diagnosis in 111 (41.7%) women, out of 266, with patient Fallopian tubes the organic factors which impaired conception or made conception impossible. In the group of 814 women with tubal impotency in 15 (1.8%) cases extratubal factor was found, subserosal myoma in uterine horn, cyst, adhesions, while Fallopian tube itself was patent and unchanged. Organic factors of Fallopian tube disorder were determined. In 360 (44.2%) patients, out of 814, with tubal impotency pathological status was found (active salpingitis, tuberculosis, endometriosis) which required establishing of a necessary treatment and cancelling the surgical treatment.
在25年的时间里，对1080名不孕女性进行了盆腔内窥镜检查，特别关注输卵管的病理情况。盆腔内窥镜检查在先前的子宫输卵管造影（HSG）之后进行。在盆腔内窥镜检查期间，评估子宫、卵巢和输卵管的状态，特别关注输卵管腹腔口的状况、急性和慢性炎症的症状、子宫内膜异位症，作者还试图诊断盆腔输卵管粘连的范围和特征。对结果进行对比后，在266名患者中，有111名（41.7%）女性因输卵管存在影响受孕或导致无法受孕的器质性因素而得以确诊。在814名输卵管功能不全的女性中，有15例（1.8%）发现了输卵管外因素，如子宫角浆膜下肌瘤、囊肿、粘连，而输卵管本身通畅且无变化。确定了输卵管疾病的器质性因素。在814名输卵管功能不全的患者中，有360例（44.2%）发现了病理状态（急性输卵管炎、结核病、子宫内膜异位症），这需要确定必要的治疗方案并取消手术治疗。
