تنظير البطن في تشخيص وتدبير بعض الأمراض النسائية
Abstract
- أجريت هذه الدراسة في مشفى الأسد الجامعي باللاذقية في قسم التوليد وأمراض النساء في الفترة ما بين 1/1/2002 – 1/6/2003 وتضمنت (100) حالة تنظير بطن لشكاوى مختلفة .
- كانت الاستطبابات كالتالي :
1ـ العقم. 2ـ الألم الحوضي . 3ـ التعقيم. 4ـ حالات متفرقة :
( لولب هاجر : حالتين) ـ (انقطاع طمث بدئي : 3 حالات )ـ( شك pco : 4 حالات )
- نسبة العقم 59% من الحالات المدروسة .
- نسبة الموجودات المرضية في حالات العقم المدروسة 66% كالتالي :
ـ خلل في نفوذية البوقين 32.2%. ـ التصاقات 16.9% .
ـ اندومتريوز 8.47%. ـ مبيض متعدد الكيسات 8.47% .
- نسبة الألم الحوضي 27% من الحالات المدروسة .
- توزعت موجودات الألم الحوضي الحاد :
ـ حمل هاجر 58.8%. ـ كيسة مبيض 29.4% .
ـ جراب نازف 5.8%. ـ موجودات طبيعية 5.8% .
- توزعت موجودات الألم الحوضي المزمن :
ـ التصاقات 50% ـ اندومتريوز 20% .
ـ كيسة مبيض 10% ـ موجودات طبيعية 20% .
- نسبة التعقيم 5% من الحالات المدروسة .
- This research was conducted at AL-Assad University Hospital Lattakia, in the Obstetric and Gynecology department between 1/1/2002 – 1/6/2003, and on (100) cases of different complaints of laparoscopy.
- Indication. were as follow : 1- infertility. 2- pelvic pain. 3- sterilization. 4- distributed cases: (migrating spiral "2 cases") – initial amenorrhea "3 cases"- suspect of PCO "4 cases" ).
- The rate of infertility was (59%).
- The rate of morbid symptoms in studied cases of infertility (66%) was as following:
- dyspenetration of tubes (32.2%). – adhensions (16.9%).
- Endometriosis (8.47%) – poly cystic ovary (8.47%).
- The rate of pelvic pain was (27%).
- The cases of acute pelvic pain distributed as follow:
- ectopic pregnancy (58.8%). – ovary cyst (29.4%).
- Bleeder follicle (5.8%). – normal existings (5.8%).
- The cases of chronic pelvic pain distributed as follow:
- Adhesions (50%). – endometriosis (20%).
- ovary cyst (10%). – normal existings (20%).
- The rate of sterilization was (5%) of studied cases.
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