Laparoscopy is a laparoscopic abdominal cavity from the abdominal wall to insert (pelvic) disease in the form of observation, location and, if necessary, from pathological examination of the organization, in order to clear the way to diagnosis.
Laparoscopy are commonly used in clinical diagnosis can not be ascertained, such as with genital dysplasia, cancer, inflammation, ectopic pregnancy, endometriosis, uterine perforation, under unexplained abdominal pain and so on, of infertility in patients with major for: ① unexplained infertility, laparoscopy has been used as the primary indication of infertility.It was reported 24 cases of unexplained infertility, the adoption of laparoscopic examination found 18 cases of infertility causes, accounting for 75%, while the minority (25%) patients should be based on other methods to trace the reasons for infertility.② endometriosis-induced infertility.Mild symptoms often do not, gynecological examination found no abnormalities, known as the occult endometriosis.Laparoscopy can be found punctate or patchy ectopic endometrial lesions were purple or brown, the spread in the peritoneal surface or pelvic organs.③ normal hysterosalpingography, in the absence of other causes, within six months about 50% of pregnant women.Yet more than half a year to conceive, and laparoscopy should be.④ In the laparoscopic examination, the vagina, cervix, intrauterine injection of methylene blue to by laparoscopy can be directly observed through the fallopian tube blue, port door pelvic umbrella overflow that tubal patency.Such as the barrier blocking the site can be seen.At the same time could be observed around the fallopian tube and ovary of the scope and extent of adhesions, ovarian and fallopian tube anatomy of the relationship between the umbrella-side to estimate the tubal motility and ovum of the pick up function.⑤ Where the history of post-natal infection, history of pelvic inflammatory disease, history of pelvic surgery, appendectomy surgery patients with a history of infertility, laparoscopy should be done for early detection of pelvic adhesions that may arise, and separation of adhesions.⑥ identifying tuberculous pelvic inflammatory disease and chronic pelvic inflammatory disease and endometriosis clinical difficult to diagnose such diseases.In case of miliary nodules, caseous material, calcified nodules, fallopian tubes were rigid beaded and so on, can be diagnosed with pelvic tuberculosis.⑦ polycystic ovary syndrome, some cases of very typical symptoms, examination and no typical signs, luteinizing hormone increase was not obvious, diagnostic laparoscopy will help.⑧ luteinization unruptured follicle syndrome: B-chao who can not be confirmed, laparoscopy can be the difference between ovulation or not, the examination time should be increased in the basal body temperature 2 to 4 days.
Does not apply to laparoscopic pelvic mass, abnormal, such as the reproductive system.
