BACKGROUND & AIMS:
:A report is given on the findings of second-look-laparoscopy in 229 patients with condition after laparoscopically ascertained and classified inflammations of the adnexes which were treated on the basis of uniform criteria. We also want to report about the pregnancy rate dependent upon the degree of severity of the inflammation in 121 patients. It could be proved with absolute certainty that there was a dependence of the frequency of pathologic changes of the tubes with negative chromopertubation on the degree of severity of the preceding illness and also on the kind of the causative organisms. The most frequent pathologic findings came up after advanced fibrinous-suppurative inflammations as well as after gonorrhoic inflammations of the adnexes, the latter not depending on the degree of severity. The pregnancy rate, 1-5 years after treated salpingitis, for patients having the wish to deliver a child, came to 72.5% after serous salpingitis, 72.2% after operation of the adnex on one side and 59.1% after fibrinous-suppurative salpingitis. In connection with the demand for general laparoscopic diagnostics of the inflammable illnesses of the adnexes it is important to point to the necessity of early registration and treatment as well as to the cultural diagnostics of gonorrhoea. In the case of abscesses of the adnexes on one side and wish to deliver a child immediate operation is recommended.(ABSTRACT TRUNCATED AT 250 WORDS)
背景与目标:
: 提供了一份报告,说明在腹腔镜下确定并分类了根据统一标准治疗的附件炎症后,229例患者的第二次腹腔镜检查结果。我们还想报告121患者的妊娠率取决于炎症的严重程度。可以绝对肯定地证明,具有负显色管的病理变化频率取决于先前疾病的严重程度以及致病生物的种类。最常见的病理发现是在晚期纤维化脓性炎症以及附件的淋病炎症之后出现的,后者不取决于严重程度。对于希望分娩的患者,在治疗输卵管炎后1-5年的妊娠率在浆液性输卵管炎后72.5%,在一侧adnex手术后72.2%,在纤维蛋白化脓性输卵管炎后59.1%。关于附件易燃疾病的一般腹腔镜诊断的需求,重要的是指出早期注册和治疗以及淋病的文化诊断的必要性。在一侧附件脓肿的情况下,建议立即进行儿童手术。(摘要截断为250字)