输卵管性不孕患者输卵管镜评分与后续妊娠结局的相关性
Correlation between salpingoscopic score and subsequent pregnancy outcome in patients with tubal infertility.
作者信息
Sawada T, Tsukada K, Satoh M, Kawakami S
机构信息
Department of Obstetrics & Gynecology, Fujita Health University School of Medicine, Aichi, Japan.
出版信息
J Assist Reprod Genet. 1997 Nov;14(10):562-5. doi: 10.1023/a:1022572432753.
PURPOSE
This study evaluated the efficacy of the salpingoscopic scoring system of tubal function.
METHODS
Twenty-seven infertile patients, including 10 patients with proximal tubal occlusion, 12 with endometriosis and 5 with inflammatory hydrosalpinx, were studied. All 54 tubes were examined using a 0.5-mm-diameter salpingoscope and scored.
RESULTS
The mean scores for patients with proximal tubal occlusion, endometriosis, and inflammation were 18.6 +/- 2.0, 15.6 +/- 0.7, and 20.8 +/- 3.4, respectively. Eight patients (29.6%) conceived; their mean tubal score was 12.6 +/- 0.5 (12-16). Nineteen patients did not conceive, and their mean score was 18.8 +/- 1.4 (12-31). There was a significant difference between these two scores (P < 0.001).
CONCLUSIONS
Scoring of the tubes by salpingoscopic examination is useful for evaluating tubal function with regard to prediction of pregnancy and also for selecting IVF or tubal reconstructive surgery as the preliminary treatment.
目的
本研究评估了输卵管功能的输卵管镜评分系统的疗效。
方法
对27例不孕患者进行了研究，其中包括10例近端输卵管阻塞患者、12例子宫内膜异位症患者和5例炎性输卵管积水患者。使用直径0.5毫米的输卵管镜对所有54条输卵管进行检查并评分。
结果
近端输卵管阻塞、子宫内膜异位症和炎症患者的平均评分分别为18.6±2.0、15.6±0.7和20.8±3.4。8例患者（29.6%）受孕；其平均输卵管评分为12.6±0.5（12 - 16）。19例患者未受孕，其平均评分为18.8±1.4（12 - 31）。这两个评分之间存在显著差异（P < 0.001）。
结论
通过输卵管镜检查对输卵管进行评分，对于评估输卵管功能以预测妊娠以及选择体外受精或输卵管重建手术作为初步治疗方法是有用的。
Zotero 插件