el-Yahia A W
Department of Obstetrics and Gynaecology, King Faisal University, Dammam, Saudi Arabia.
Aust N Z J Obstet Gynaecol. 1994 Aug;34(4):440-2. doi: 10.1111/j.1479-828x.1994.tb01266.x.
Laparoscopy was used to evaluate 130 women whose basic infertility survey revealed no abnormalities. Overall 75 (57.7%) patients were found to have evidence of pelvic disease while the remainder were completely normal. Pelvic endometriosis was the most common pathology accounting for 27.7%, pelvic adhesions 20.8% and mild pelvic inflammatory disease 6.2%. Appropriate treatment of the pelvic conditions resulted in 31 (42.5%) pregnancies compared with 7 (12.3%) pregnancies in the no treatment group. The outcome of this study suggests that additional pregnancies do occur as a direct result of laparoscopic examination and subsequent therapy. We believe that laparoscopy should be performed on all women to search for a tubal or pelvic cause of infertility when all other examinations have been normal.
腹腔镜检查用于评估130名女性，这些女性的基本不孕症检查未发现异常。总体而言，75名（57.7%）患者有盆腔疾病的证据，其余患者完全正常。盆腔子宫内膜异位症是最常见的病理情况，占27.7%，盆腔粘连占20.8%，轻度盆腔炎占6.2%。对盆腔疾病进行适当治疗后，有31名（42.5%）患者怀孕，而未治疗组有7名（12.3%）患者怀孕。这项研究的结果表明，腹腔镜检查及后续治疗确实会直接导致更多怀孕。我们认为，当所有其他检查均正常时，应对所有女性进行腹腔镜检查，以寻找输卵管或盆腔原因导致的不孕症。
