Taylor P J, Leader A, George R E, Fick G H
J Reprod Med. 1984 Feb;29(2):137-40.
Laparoscopy and hysteroscopy were undertaken simultaneously in 497 women presenting with otherwise unexplained infertility. Of them, 285 complained of primary infertility and 212 of secondary infertility. Laparoscopic evidence of pelvic inflammatory disease in the absence of endometriosis was noted in 103 patients with primary and in 108 women with secondary infertility. Lesions were noted on hysteroscopy in both groups as well as in 34% of women with normal laparoscopic examinations. No specific dependency could be demonstrated between any laparoscopically detected lesion and hysteroscopically detected lesion. A significant dependency was demonstrated only between a history of secondary infertility and uterine adhesions (chi 2 = 12.03, 1 df, p less than 0.01). While the combined endoscopic findings did not demonstrate any dependency, the findings of this study demonstrate the importance of hysteroscopy in assessing all patients with infertility, especially those with secondary infertility.
对497例不明原因不孕症女性同时进行了腹腔镜检查和宫腔镜检查。其中，285例主诉原发性不孕，212例主诉继发性不孕。103例原发性不孕患者和108例继发性不孕女性在无子宫内膜异位症的情况下有腹腔镜检查证实的盆腔炎证据。两组患者以及34%腹腔镜检查正常的女性在宫腔镜检查时均发现病变。未发现任何腹腔镜检查发现的病变与宫腔镜检查发现的病变之间存在特定关联。仅继发性不孕病史与子宫粘连之间存在显著关联（卡方=12.03，自由度1，p<0.01）。虽然联合内镜检查结果未显示任何关联，但本研究结果表明宫腔镜检查在评估所有不孕症患者，尤其是继发性不孕症患者中的重要性。
