Godinjak Zulfo, Idrizbegović Edin
Obstetrics and Gynaecology Clinic, University of Sarajevo Clinics Centre, Bolnicka 10, 71000 Sarajevo, Bosnia and Herzegovina.
Bosn J Basic Med Sci. 2008 Feb;8(1):44-7. doi: 10.17305/bjbms.2008.2996.
The aim of this study was to clarify the role of simultaneous combined diagnostic approach using laparoscopy and hysteroscopy in the evaluation of female infertility. In a retrospective study, 360 infertile women underwent complete fertility evaluation. All the patients were examined by simultaneous combined laparoscopy and hysteroscopy as a part of the routine infertility evaluation. Laparoscopy and hysteroscopy were successful in 360 patients. Bilateral tubes were blocked in 18 (5%) and unilateral tubal occlusion were in 30 (8,33%) of patients. Pelvic adhesions were revealed in 40 (11,11%), and myomas in 42 (11,65%) out of that 31 (8,6%) were revealed by laparoscopy and 11 (3,05%) by hysteroscopy. Endometrial polyps were revealed in 26 (7,22%) and Syndrome Asherman in 3(0,83%) of patients. Uterine anomaly was found in 19 (5,27%) of cases and out of that septate uterus in 7 (37,15%), bicornuate uterus in 5 (26,31%), arcuate uterus in 4 (21,26%) and uterus unicornu cum cornu rudimentario in 3 (15,27%) of uterine anomalies. Endometriosis was found in 51 (14,16%), dermoid cysts in 8 (2,22%) and in 16 (4,44%) functional cysts of patients. Also, Fitz-Hugh-Curtis syndrome was revealed in 23 (6,11%) of our patients. Laparoscopy and hysteroscopy play very important role as diagnostic tools in the infertility women. Combined diagnostic simultaneous laparoscopy and hysteroscopy should be performed in all infertile patients before the treatment.
本研究的目的是阐明腹腔镜检查和宫腔镜检查联合诊断方法在女性不孕症评估中的作用。在一项回顾性研究中，360例不孕女性接受了全面的生育力评估。所有患者均接受了腹腔镜检查和宫腔镜检查联合诊断，作为常规不孕症评估的一部分。360例患者的腹腔镜检查和宫腔镜检查均成功。18例（5%）患者双侧输卵管阻塞，30例（8.33%）患者单侧输卵管阻塞。40例（11.11%）患者发现盆腔粘连，42例（11.65%）患者发现肌瘤，其中31例（8.6%）通过腹腔镜检查发现，11例（3.05%）通过宫腔镜检查发现。26例（7.22%）患者发现子宫内膜息肉，3例（0.83%）患者发现阿谢曼综合征。19例（5.27%）患者发现子宫异常，其中7例（37.15%）为纵隔子宫，5例（26.31%）为双角子宫，4例（21.26%）为弓形子宫，3例（15.27%）为残角子宫。51例（14.16%）患者发现子宫内膜异位症，8例（2.22%）患者发现皮样囊肿，16例（4.44%）患者发现功能性囊肿。此外，23例（6.11%）患者发现菲茨-休-柯蒂斯综合征。腹腔镜检查和宫腔镜检查作为诊断工具在不孕女性中发挥着非常重要的作用。在所有不孕患者治疗前均应进行腹腔镜检查和宫腔镜检查联合诊断。
