Cumming D C, Honoré L H, Scott J Z, Williams K E
Department of Obstetrics and Gynaecology, University of Alberta, Edmonton, Canada.
Int J Fertil. 1988 Sep-Oct;33(5):324-8.
A normal laparoscopic examination of the pelvis in an infertile patient is usually considered sufficient evidence of normal tubal function. Twelve of 27 tubal ectopic pregnancies which occurred over a 4-year period in patients attending an infertility clinic were in patients with a previously "normal" laparoscopy. In eight patients, salpingectomy was performed, and the whole tube was available for examination by a single pathologist. The eight fallopian tubes, thoroughly examined histologically, all had evidence of ongoing, low-grade salpingitis or postinflammatory endosalpingeal disorganization in areas away from the ectopic pregnancy. These findings suggest that laparoscopy does not exclude significant microscopic tubal disease in at least some women with an apparently normal pelvis, and that this may be a cause of ectopic pregnancy and perhaps "idiopathic" infertility.
对于不孕患者，通常认为盆腔腹腔镜检查结果正常足以证明输卵管功能正常。在一家不孕诊所就诊的患者中，4年内发生的27例输卵管异位妊娠中有12例发生在先前腹腔镜检查“正常”的患者身上。在8例患者中进行了输卵管切除术，整条输卵管可供一名病理学家检查。对这8条输卵管进行了全面的组织学检查，结果显示，在远离异位妊娠的区域，所有输卵管均有持续性轻度输卵管炎或炎症后输卵管内膜组织紊乱的迹象。这些发现表明，腹腔镜检查并不能排除至少一些盆腔外观正常的女性存在明显的微观输卵管疾病，这可能是异位妊娠以及或许“特发性”不孕不育的一个原因。
