[Pelvioscopy in pediatric gynecology and gynecological endocrinology].

The authors perform diagnostic-operative pelvioscopy on 32 patients with primary and secondary amenorrhea--87.5% and 12.5% respectfully. The follow-up included a comparison of the results from the gynaecologic examination, ultrasound evaluation of the ovaries, sex chromatin and histologic results from the gonadal biopsy material. No ovarian structures were scanned in 28.13% of the cases. In 15.63% of the cases 46XY karyotype was diagnosed and in 4 other cases--46 X iso Xq. The histologic results from ovarian biopsy are as follow: in 37.5% only primordial follicles, in 18.75%-fibrous tissue and in 6.25%-presence of testicular tissue. From the analysis of the results the authors conclude that pelvioscopy combined with gonadal biopsy in cases a distinct place in the diagnostic plan of evaluation.