Bitzer J, Korber H R
Geburtshilfe Frauenheilkd. 1983 May;43(5):294-8. doi: 10.1055/s-2008-1036895.
The results of 308 laparoscopies performed in infertile women were evaluated retrospectively. In 185 patients (60%) the laparoscopy was the last step in otherwise negative infertility evaluations (unexplained infertility). In 123 patients (40%) history or preliminary studies gave indirect evidence of possible pelvic disease. In the group of unexplained infertility laparoscopic abnormalities could be found in 50%. In 25% a tuboperitoneal factor and in 20% an endometriosis were found. Primary and secondary infertility showed the same percentage of normal findings with a higher incidence of tuboperitoneal factors in secondary infertility. In the group with indirect evidence of possible pelvic disease the incidence of positive laparoscopic findings was as high as 77%. Previous adnexitis or clinical suspicion of endometriosis (40 patients), previous pelvic operation (60 patients) and pathologic hysterosalpingographic findings (33 patients) proved to be approximately of equal prognostic value.
对308例不孕女性进行的腹腔镜检查结果进行了回顾性评估。在185例患者（60%）中，腹腔镜检查是其他不孕症评估均为阴性（不明原因不孕）时的最后一步检查。在123例患者（40%）中，病史或初步检查间接提示可能存在盆腔疾病。在不明原因不孕组中，50%的患者存在腹腔镜检查异常。发现25%的患者存在输卵管腹膜因素，20%的患者存在子宫内膜异位症。原发性和继发性不孕的正常检查结果比例相同，但继发性不孕中输卵管腹膜因素的发生率更高。在有盆腔疾病可能间接证据的组中，腹腔镜检查阳性结果的发生率高达77%。既往附件炎或临床怀疑子宫内膜异位症（40例患者）、既往盆腔手术（60例患者）和子宫输卵管造影病理结果（33例患者）的预后价值大致相同。
