Division of Reproductive Medicine, Sugiyama Clinic, Tokyo, Japan.
Fertil Steril. 2010 Dec;94(7):2753-7. doi: 10.1016/j.fertnstert.2010.03.012. Epub 2010 Apr 18.
To build an evaluation scoring system using the results of salpingoscopy, and to evaluate the relationship between this scoring system and the outcome of pregnancy.
Retrospective study.
Sugiyama Clinic.
INTERVENTION(S): Using salpingoscopy, we observed the tubal lumen, paying attention to the following six results: adhesions, loss of mucosal folds, rounded edges of mucosal folds, debris, foreign bodies, and abnormal vessels.
PATIENT(S): From April 2008 through June 2009, 104 women in whom unexplained infertility had been diagnosed underwent salpingoscopy. The F scores were evaluated related with various clinical results or pregnancy rates.
MAIN OUTCOME MEASURE(S): The F score expressed the sum of the abnormal results, and one abnormal result was given a 1-point F score.
Approximately 60% of the patients showed an F score of 0, and the percentages of patients who showed 1, 2, 3, and ≥4 points were 19.2%, 11.5%, 4.5%, and 4.5%, respectively. After evaluation, 23 patients achieved pregnancy within a year. The pregnancy rates for patients with F scores of 0 and 1 point were 30.6% and 20.0%, respectively, and the rate of patients with an F score of 0 was significantly higher than the rate of patients with high F scores (F score ≥2; 9.1%).
CONCLUSION(S): The patients showing a lower F score (0 or 1) showed higher fecundity than those showing an F score of ≥2.
建立一种基于输卵管镜检查结果的评分系统，并评估该评分系统与妊娠结局的关系。
回顾性研究。
杉山诊所。
使用输卵管镜观察输卵管管腔，注意以下六种结果：粘连、黏膜皱襞缺失、黏膜皱襞边缘变圆、碎片、异物和异常血管。
2008 年 4 月至 2009 年 6 月，104 例不明原因不孕患者接受了输卵管镜检查。评估 F 评分与各种临床结果或妊娠率的关系。
F 评分表示异常结果的总和，一个异常结果记 1 分。
约 60%的患者 F 评分为 0，F 评分为 1、2、3 和≥4 的患者比例分别为 19.2%、11.5%、4.5%和 4.5%。经过评估，1 年内有 23 例患者妊娠。F 评分为 0 和 1 的患者妊娠率分别为 30.6%和 20.0%，F 评分为 0 的患者妊娠率明显高于 F 评分较高（F 评分≥2）的患者（9.1%）。
F 评分较低（0 或 1）的患者生育能力高于 F 评分≥2 的患者。
