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腹腔镜检查在不孕症调查中的地位(作者译)

[The place of laparoscopy in the investigation of infertility (author's transl)].

作者信息

Schmid R, Schneider W H

出版信息

Wien Klin Wochenschr. 1978 Feb 17;90(4):130-3.

PMID:146970
Abstract

An assessment of the value of hysterosalpingography (HSG) and laparoscopy was made on the basis of a comparison of the respective findings obtained during routine investigation of 105 women attending the Infertility Clinic. The results of the two procedures concurred in 76% of the women; in the remaining cases, apparently normal findings on HSG had to be rectified on the basis of laparoscopic investigation and vice versa. The divergent results are discussed in detail. In particular, intramural obstruction of the tubes diagnosed on HSG often appears to be merely functional and the presence or absence of adhesions in the region of the tubes must be viewed with reservation. HSG and laparoscopy should be considered complementary, not rival procedures.

摘要

基于对105名前往不孕不育诊所就诊的女性进行常规检查时各自获得的检查结果进行比较,对子宫输卵管造影术(HSG)和腹腔镜检查的价值进行了评估。两种检查方法的结果在76%的女性中一致;在其余病例中,HSG检查结果看似正常,但基于腹腔镜检查结果必须予以纠正,反之亦然。对这些不同的结果进行了详细讨论。特别是,HSG诊断出的输卵管壁内梗阻往往似乎只是功能性的,对于输卵管区域粘连的存在与否必须持保留态度。HSG和腹腔镜检查应被视为互补而非相互竞争的检查方法。

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