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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Is hysterolaparoscopy a real theranostic approach for anatomical barriers in female fertility? A future argument
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Is hysterolaparoscopy a real theranostic approach for anatomical barriers in female fertility? A future argument

机译：子宫腹腔镜检查是治疗女性生育障碍的真正的治疗方法吗？未来的争论

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Background: Hysterolaparoscopy is a modality that provides the real time abdomino-pelvic view during diagnosis in infertile female patients and any pathology is noticed can be tackled at the same time. So we investigate the theranostic application of hysterolaparoscopy in structural causes of female infertility in present study. Methods: Authors prospectively evaluate 157 female patients (mean age 27.7 years) diagnosed as infertile, underwent hysterolaparoscopy during diagnostic work-up. All the enlisted patients fulfilled the criteria of infertility. The noticed anatomical abnormalities in the hysterolaparoscopy were tackled at the same time if possible. Results: Of the 157 infertile female patients, 93 (~59.2%) were of primary infertility and remaining 64 (~41.8%) were secondary infertility patients. Hysterolaparoscopy showed abnormalities in 125/157 (~85.0%) patients. The detected hysterolaparoscopic abnormalities were distributed in 77/93 (~82.8%) primary and 48/64 (~75.0%) secondary infertility patients. Of the 125 patients with abnormal hysterolaparoscopic findings, 121 (~96.8%) experienced for active therapeutic interventions. All of the 48 secondary infertility patients with hysterolaparoscopic abnormalities experienced for active hysterolaparoscopic interventions. Of 77 patients with hysterolaparoscopic abnormality in primary infertility group, 73 (~94.8%) experienced active intervention. Only four patients with streak ovaries and hypoplastic uterus, few tiny fibroids and adenomyosis did not undergo for active hysterolaparoscopic intervention. Conclusions: Authors concluded that hysterolaparoscopy has a better theranostic approach for the anatomical barriers of female fertility so it can be performed in the initial phases of the infertility diagnostic work-up.
机译：背景：宫腔镜检查是一种在不育女性患者诊断期间提供实时腹部-盆腔视图的方法，注意到任何病理都可以同时解决。因此，在本研究中，我们研究了子宫镜检查在女性不育的结构性原因中的治疗学应用。方法：作者前瞻性评估了157例女性患者（平均年龄27.7岁），这些患者被诊断为不育，并在诊断过程中接受了宫腔镜检查。所有入选患者均符合不育标准。如果可能，应同时解决宫腔镜检查中发现的解剖学异常。结果：在157例不育女性患者中，原发性不育患者93例（〜59.2％），继发性不育患者64例（〜41.8％）。宫腔镜检查显示125/157（〜85.0％）患者异常。检出的腹腔镜异常分布在原发性不孕患者77/93（〜82.8％）和继发性不孕患者48/64（〜75.0％）中。在125例腹腔镜检查结果异常的患者中，有121名（〜96.8％）经历了积极的治疗干预。所有48例具有腹腔镜异常的继发性不育患者都经历了积极的腹腔镜干预。在原发性不孕症组的77例腹腔镜异常患者中，有73例（〜94.8％）进行了积极干预。只有四名患有卵巢条纹和子宫发育不良，微小肌瘤和子宫腺肌病的患者没有接受过积极的宫腔镜检查。结论：作者得出结论，宫腔镜检查对女性生育力的解剖学障碍具有更好的治疗方法，因此可以在不孕症诊断工作的初始阶段进行。

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