卵管性不妊症の診断に対する経膣的腹腔鏡(Transvaginal hydrolaparoscopy;THL)の有用性

概要

論文の詳細を見る
Our purpose was to investigate the usefulness and accuracy of transvaginal hydrolaparoscopy(THL)in infertile patients. Twelve women with primary and secondary sterility participated in this study after giving their informed consent. THL was completed in eleven of the patients(91.7%)with no complications. Eighteen adnexa(81.8%)were observed clearly enough to evaluate, but four adnexa(18.2%)could not be satisfactorily observed due to the presence of peri-adnexal adhesions. In eight adnexa(42.1%), discrepancies between the HSG and THL diagnoses were found. THL can be performed safely. Although the area of observation is slightly restricted, the quality of imaging is much superior to the extent that it provides more useful information on the status of the pelvic cavity, allowing patients to begin considering appropriate treatments, including IVF-ET.
社団法人日本産科婦人科学会の論文
2000-09-01