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KMID : 0358419960390091698
Korean Journal of Obstetrics and Gynecology
1996 Volume.39 No. 9 p.1698 ~ p.1703
A Clinical Study of 305 Cases of Diagnostic Laparoscopy
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Abstract
A clinical analysis of 305 consecutive cases of diagnostic laparoscopy from Jan. 1986 to Dec. 1994 was performed. Suspected ectopic pregnancy was the most common indication (51.4%) and the next was infertility(39.2%).
In 74% of 157 patients with suspected ectopic pregnancy, the diagnosis was confirmed by diagnostic laparoscopy which avoided unnecessary laparotomy in 26% of these patients.
In 67.5% of 120 infertile patients, pelvic abnormalities were found. Tubal occlusions and pelvic adhesions were the most common abnormalities.
In investigating tubal patency, there was a discrepancy rate between hysterosalpingographic and laparoscopic findings in 30% of the infertile patients. The false positive rate of HSG was 8.0%. The false negative rate of HSG was 22.1%.
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