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Principle Of Laparoscopic Treatment
Jul 20, 2018

Laparoscopic uterus is the expansion of the uterine cavity with the expansion of the uterine cavity, through the fiber guide beam and lens to introduce the cold light source into the uterine cavity through the hysteroscope, looking directly down the cervical canal, intrauterine mouth, endometrium and fallopian tube opening for observation, and The examination and diagnosis of the physiology and pathology in the uterine cavity can also be treated at the same time. It is more intuitive, accurate and reliable than the traditional curettage and B-mode ultrasound, and can be more accurately taken to the pathology. Examination; surgery can also be performed in the uterine cavity under direct vision.

1 Unexplained infertility is listed as the primary indication for the use of laparoscopy for infertility. 24 cases of unexplained infertility were reported. Through laparoscopy, 18 cases found infertility, accounting for 75%, while a small number (25%) should use other methods to trace the cause of infertility.

2 infertility caused by endometriosis. Mild people often have no symptoms, and no abnormal findings are found in gynecological examinations. They are called occult endometriosis. Laparoscopy can be found in punctate or ectopic endometrial lesions, which are purple or brown in color and spread on the surface of the peritoneal or pelvic organs.

3 If the uterine fallopian tube angiography is normal, if there is no other cause, about 50% of the women will conceive within half a year. If you have not been pregnant for more than half a year, you should have a laparoscopy.

4 In the laparoscopy, the vaginal, cervix, and the uterine cavity are injected with methylene blue. Through the laparoscope, the blue tube can be directly observed through the fallopian tube, and the umbrella port is overflowed into the pelvic cavity to prove that the fallopian tube is unobstructed. If it does not work, the blocked part can be seen. At the same time, the extent and extent of adhesion between the fallopian tube and the ovary, and the anatomical relationship between the ovary and the umbrella end of the fallopian tube can be observed to estimate the peristalsis of the fallopian tube and the function of picking up the egg.

5 Infertility patients with a history of postpartum infection, history of pelvic inflammatory disease, history of pelvic surgery, and history of appendectomy should be performed laparoscopy to detect possible pelvic adhesions and separate adhesions.

6 Identification of tuberculous pelvic inflammatory disease and chronic pelvic inflammatory disease and endometriosis and other clinically difficult to diagnose diseases. If miliary nodules, cheese-like substances, calcified nodules, tubal stiffness are beaded, etc., pelvic tuberculosis can be diagnosed.

7 polycystic ovary syndrome, some cases are very atypical symptoms, no typical signs of examination, luteinizing hormone is not obvious, laparoscopic examination is helpful for diagnosis.

8 luteal follicle unruptured syndrome: b can not be diagnosed, laparoscopic examination can distinguish between ovulation or not, the time of microscopic examination should be 2 to 4 days when the basal body temperature rises. Laparoscopy is not suitable for pelvic mass, reproductive system malformation, etc.


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