Marconi G, Auge L, Sojo E, Young E, Quintana R
Instituto de Fertilidad, Buenos Aires, Argentina.
Fertil Steril. 1992 Apr;57(4):742-6. doi: 10.1016/s0015-0282(16)54952-8.
To evaluate the importance of salpingoscopy together with laparoscopy in the diagnosis of tubal pathology.
Salpingoscopy was performed as a complementary method in patients who were subjected to diagnostic laparoscopy. The relationship between the salpingoscopy and (1) the patient's previous history of tubal disease and (2) laparoscopic diagnoses was evaluated.
Private patients referred to the Instituto de Fertilidad, Buenos Aires.
PATIENTS, PARTICIPANTS: Forty-two patients undergoing a diagnostic laparoscopy during the evaluation of their fertility or as a follow-up of previous therapy.
MAIN OUTCOME MEASURE(S): Salpingoscopy was performed, using a colpomicrohysteroscope. We evaluated alterations in major and minor folds and their vascularization, the presence of microadhesions, and cellular nuclei dyed with methylene blue in the tubal lumen.
Fifty percent of the patients who had no previous history of tubal disease presented with endosalpingeal alterations, and in 37% of the normal laparoscopies the salpinx had unilateral or bilateral salpingoscopic abnormalities.
Salpingoscopy is a useful method to evaluate oviducts, before assuming their normality, and consideration of these women for assisted reproductive technology.
评估输卵管镜检查联合腹腔镜检查在输卵管病变诊断中的重要性。
对接受诊断性腹腔镜检查的患者采用输卵管镜检查作为补充方法。评估输卵管镜检查与（1）患者既往输卵管疾病史以及（2）腹腔镜诊断之间的关系。
转诊至布宜诺斯艾利斯生育研究所的私立患者。
患者、参与者：42例在评估生育能力或作为既往治疗随访期间接受诊断性腹腔镜检查的患者。
使用阴道微型宫腔镜进行输卵管镜检查。我们评估了输卵管大小褶皱及其血管化的改变、微粘连的存在以及输卵管腔内被亚甲蓝染色的细胞核。
50%既往无输卵管疾病史的患者存在输卵管内膜改变，在37%的正常腹腔镜检查中，输卵管存在单侧或双侧输卵管镜检查异常。
在认定输卵管正常之前，输卵管镜检查是评估输卵管以及考虑这些女性进行辅助生殖技术的一种有用方法。
