Value of Laparoscopy in infertile women with normal hysterosalpingograms
정상 자궁난관조영을 보이는 불임 환자에 있어서 복강경술의 의의
권, 종희; 서, 성석; 김, 미란; 황, 경주; 장, 혜진; 장, 석준; 유, 희석
Taehan Sanbuinkwa Hakhoe chi, 48(2):370-375, 2005
Taehan Sanbuinkwa Hakhoe chi; Korean journal of obstetrics and gynecology; 대한산부인과학회지
Objective: To evaluate the value of laparoscopy in infertile women with normal hysterosalpingograms.
Methods: Retrospectively analyzed the laparoscopic findings of 79 infertility patients with normal hysterosalpingograms.
Results: Of the 79 patients, 28 (35.4%) showed normal laparoscopic findings, while in 51 (64.6%) patients, it was abnormal. Abnormal findings consisted of stage I-II endometriosis in 23 patients (45.1%), stage III-IV endometriosis in 5 (9.8%), peritubal adhesions in 7 (13.7%), and pelvic adhesions in 12 (23.5%). Among patients in whom patent fallopian tubes were demonstrated by hysterosalpingography, there were 2 (4.0%) patients each with tubal obstruction and hydrosalpinx.
Conclusion: Even in patients who showed normal findings on a hysterosalpingogram, it is thought that laparoscopy in selected cases may provide enhanced efficacy in terms of cost and time effectiveness.
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