Brosens I, Boeckx W, Delattin P, Puttemans P, Vasquez G
Department of Obstetrics and Gynaecology, University of Leuven, Belgium.
Br J Obstet Gynaecol. 1987 Aug;94(8):768-73. doi: 10.1111/j.1471-0528.1987.tb03724.x.
Endoscopy of the fallopian tube allows examination of the tubal mucosa in subfertile patients. Clinical and morphological studies have shown a high correlation between the appearance of the tubal mucosa and the ultimate outcome in terms of pregnancies. Salpingoscopy was originally performed during laparotomy for reconstructive tubal surgery. The present study describes the use of a rigid 3 mm telescope passed along the channel of the operating laparoscope to assess the mucosa of the infundibulum and ampullary segment. Lesions of the infundibulum and ampullary segment have been detected in patients with apparently normal tubes on the hysterosalpingogram and at laparoscopy. The extent of the mucosal lesions can be assessed preoperatively in patients with tubal adhesions, tubo-cornual or isthmic lesions and hydrosalpinges.
输卵管内镜检查可对不育患者的输卵管黏膜进行检查。临床和形态学研究表明，输卵管黏膜的外观与妊娠的最终结果之间存在高度相关性。最初，输卵管镜检查是在剖腹手术中进行输卵管重建手术时进行的。本研究描述了使用一根3毫米的硬性望远镜通过手术腹腔镜的通道来评估输卵管漏斗部和壶腹部的黏膜。在子宫输卵管造影和腹腔镜检查中，输卵管看似正常的患者中检测到了漏斗部和壶腹部的病变。对于有输卵管粘连、输卵管-子宫角或峡部病变以及输卵管积水的患者，术前可评估黏膜病变的程度。
