急性盆腔炎治疗后的第二次腹腔镜检查。
Second laparoscopy after treatment of acute pelvic inflammatory disease.
作者信息
Teisala K, Heinonen P K, Aine R, Punnonen R, Paavonen J
出版信息
Obstet Gynecol. 1987 Mar;69(3 Pt 1):343-6.
We used second laparoscopy with dye insufflation to evaluate tubal findings in 20 women 15-45 weeks after treatment for acute pelvic inflammatory disease. Eight women had pelvic adhesions, including all six women with adhesions seen at first laparoscopy. However, in five of the six women, adhesions were milder or had disappeared unilaterally. Dye insufflation revealed tubal occlusion in five of eight women with adhesions and one of 12 women without adhesions. Thus, nine women (45%) had pelvic adhesions or tubal occlusion at second laparoscopy. Second laparoscopy is useful to objectively assess posttreatment tubal and peritubal morphology. Larger studies are needed to evaluate the cost-effectiveness of the procedure and the correlation of second laparoscopy findings to future infertility.
我们在20名接受急性盆腔炎治疗后15至45周的女性中，采用二次腹腔镜检查并注入染料来评估输卵管情况。8名女性存在盆腔粘连，其中包括首次腹腔镜检查时发现粘连的所有6名女性。然而，在这6名女性中的5名中，粘连程度较轻或单侧粘连已消失。注入染料显示，8名有粘连的女性中有5名以及12名无粘连的女性中有1名存在输卵管阻塞。因此，9名女性（45%）在二次腹腔镜检查时存在盆腔粘连或输卵管阻塞。二次腹腔镜检查有助于客观评估治疗后输卵管及输卵管周围的形态。需要开展更大规模的研究来评估该检查的成本效益以及二次腹腔镜检查结果与未来不孕的相关性。
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