ABSTRACT
Objective To evaluate the value of combined use of laparoscopy and hysteroscopy in the diagnosis of infertility. Methods Clinical data of 168 cases of infertility receiving examinations with laparoscopy and hysteroscopy from June 1999 to October 2003 were retrospectively reviewed.Results Hysteroscopic examinations found intrauterine diseases in 79 cases(79/168,47.0%),including 46 cases of endometrial hyperplasia or polyps(46/79,58.2%).Laparoscopic examinations showed organic pelvic diseases in 99 cases,including 85 cases of chronic pelvic inflammation,endometriosis or polycystic ovarian syndrome(85/99,85.9%).Both laparoscopy and hysteroscopy gave normal findings in 15 cases and abnormal findings in 39 cases.Unilateral or bilateral tubal obstruction was found in 90 cases by tubal patency tests under hysteroscope(90/168,53.6%) and in 78 cases by laparoscopy(78/168,46.4%). Conclusions Combined use of laparoscopy and hysteroscopy offers accurate diagnostic evidences in examinations of infertility.
ABSTRACT
Objective To compare the clinical effects between hysteroscopic electroresection and open hysterectomy in the treatment of intrauterine benign diseases. Methods A total of 58 women with intrauterine benign received hysteroscopic electroresection (hysteroscopic group) and 60 women underwent open total hysterectomy (control group). The operating time, hospital stay, postoperative recovery and cure rates were compared between the two groups, respectively. Results The operating time was 68.4?20.6 min in control group and 55.2?19.7 min in hysteroscopic group ( t=-3.555, P =0.000). The postoperative hospital stay was 7.2?1.8 d and 4.5?1.5 d in control and hysteroscopic group, respectively ( t=-8.836, P =0.000). The time to resume regular work was 64.4?25.3 d in control group and 37.2?7.8 d in hysteroscopic group ( t=-7.835, P =0.000). The cure rates in control and hysteroscopic group were 100% (60/60) and 94.7% (54/57), respectively ( ? 2 =1.477, P =0.224). Conclusions Hysteroscopic electroresection gives good short-term therapeutic effects and quick postoperative recovery. It may replace hysterectomy in part of patients with intrauterine benign diseases.