Scheidel P, Hepp H
Geburtshilfe Frauenheilkd. 1982 Nov;42(11):824-8. doi: 10.1055/s-2008-1037166.
Between October 1978 and December 1980 165 diagnostic laparoscopies were carried out because of the suspected diagnosis of primary tubal infertility. In this preselected series 27.9% of the cases had normal findings. It was remarkable that the previous diagnosis was not confirmed in 21 cases which had a prior infertility work-up. In 17 of these cases tubal occlusion was diagnosed by laparoscopy or hysterosalpingography but was not confirmed by the repeat laparoscopy. In addition 1 case of tubal tuberculosis and 1 case of tubal anomaly were detected which were missed with the prior work-up. Because of the findings in this series the repeat diagnostic laparoscopy prior to micro-surgical reconstruction of the fallopian tubes is necessary and the referring clinics should show comprehension for the repeat laparoscopy prior to micro-surgery. In the sequence of diagnostic test, laparoscopy it selected prior to hysterosalpingography.
1978年10月至1980年12月期间，因怀疑原发性输卵管性不孕进行了165例诊断性腹腔镜检查。在这个预先选择的系列中，27.9%的病例检查结果正常。值得注意的是，在之前进行过不孕检查的21例病例中，之前的诊断未得到证实。在其中17例病例中，腹腔镜检查或子宫输卵管造影诊断为输卵管阻塞，但再次腹腔镜检查未得到证实。此外，还检测到1例输卵管结核和1例输卵管异常，这些在之前的检查中被漏诊。鉴于该系列中的这些发现，在输卵管显微外科重建术前进行再次诊断性腹腔镜检查是必要的，转诊诊所应理解在显微手术前进行再次腹腔镜检查的必要性。在诊断检查顺序中，腹腔镜检查优先于子宫输卵管造影。
