Scudamore I W, Dunphy B C, Bowman M, Jenkins J, Cooke I D
Department of Obstetrics, Jessop Hospital for Women, Sheffield, UK.
Hum Reprod. 1994 Aug;9(8):1516-8. doi: 10.1093/oxfordjournals.humrep.a138740.
The purpose of this study was to compare and contrast falloposcopic and salpingoscopic ampullary assessments in a series of 20 women undergoing tubal microsurgery for distal tubal or peritubal disease. Four women had an extrinsic cause for their peritubal adhesions, and would have been expected to exhibit a normal oviductal canal. All of the falloposcopic examinations were performed as an outpatient procedure. Salpingoscopic examinations were undertaken at the time of microsurgery. The endoscopic examinations were undertaken by two clinicians, who were blinded to each other's assessments and to the indication for surgery. Of the 31 Fallopian tubes which were examined, 24 were found to be abnormal by salpingoscopy and 23 were found to be abnormal by falloposcopy. Total score and scores for epithelial appearance, vascularity, intraluminal adhesions and dilatation were found to be significantly associated. Furthermore, falloposcopy predicted salpingoscopic status correctly in 84% of cases. These data suggest that falloposcopy is a useful method of assessing ampullary condition.
本研究的目的是比较和对比在20例因输卵管远端或输卵管周围疾病接受输卵管显微手术的女性中，输卵管镜和输卵管壶腹镜检查的结果。4名女性的输卵管周围粘连是由外部原因引起的，预计其输卵管管腔正常。所有输卵管镜检查均作为门诊手术进行。输卵管壶腹镜检查在显微手术时进行。内镜检查由两名临床医生进行，他们对彼此的评估结果以及手术指征均不知情。在接受检查的31条输卵管中，经输卵管壶腹镜检查发现24条异常，经输卵管镜检查发现23条异常。发现总分以及上皮外观、血管分布、管腔内粘连和扩张的评分之间存在显著相关性。此外，输卵管镜在84%的病例中正确预测了输卵管壶腹镜检查结果。这些数据表明，输卵管镜是评估壶腹部状况的一种有用方法。
