输卵管峡部结节性闭塞性和非闭塞性输卵管炎女性的输卵管镜检查结果。

Salpingoscopic findings in women with occlusive and nonocclusive salpingitis isthmica nodosa.

作者信息

Gürgan T, Urman B, Yarali H, Aksu T, Kisnisci H A

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Hacettepe, Ankara, Turkey.

出版信息

Fertil Steril. 1994 Mar;61(3):461-3. doi: 10.1016/s0015-0282(16)56576-5.

DOI:10.1016/s0015-0282(16)56576-5

PMID:8137967

Abstract

STUDY OBJECTIVE

To characterize ampullary endosalpingeal findings in women with occlusive or nonocclusive salpingitis isthmica nodosa.

DESIGN

Prospective case study.

SETTING

Obstetrics and Gynecology Department of a University Hospital.

PATIENTS

Twenty women (38 tubes) with occlusive or nonocclusive salpingitis isthmica nodosa were studied.

INTERVENTIONS

Salpingoscopy was performed during diagnostic laparoscopy in 20 women (38 tubes) with hysterosalpingographic evidence of salpingitis isthmica nodosa.

MAIN OUTCOME MEASURES

Salpingoscopic findings were recorded and the patients were managed accordingly.

RESULTS

Of the 38 tubes 10 appeared radiographically and laparoscopically normal. Two tubes were occluded distally. Of the 26 tubes with occlusive or nonocclusive salpingitis isthmica nodosa, 5 (19.2%) showed varying degrees of endosalpingeal abnormality. Patients with abnormal salpingoscopy were regarded as having bipolar tubal disease and were referred for assisted conception. The remaining patients were scheduled for microsurgical tubal reconstruction.

CONCLUSIONS

One in five patients with proximal tubal disease may have ampullary endosalpingeal damage of varying degrees. However, the significance of this finding in relation to subsequent management strategies and fertility outcome is yet to be characterized.

摘要