Subendometrial blood flow changes by 3-dimensional power Doppler ultrasound after hysteroscopic lysis of severe intrauterine adhesions: preliminary study.

Autor:	Mohamed Amer MI; Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt. Electronic address: mohamed_amer810@yahoo.com., Omar OH; Department of Radiology, Ain Shams University, Cairo, Egypt., El Sherbiny Hamed M; Fetal Care Unit, Maternity Hospital, Ain Shams University, Cairo, Egypt., Dahroug EG; Department of Obstetrics and Gynecology, Tanta University, Tanta, Egypt.
Jazyk:	angličtina
Zdroj:	Journal of minimally invasive gynecology [J Minim Invasive Gynecol] 2015 Mar-Apr; Vol. 22 (3), pp. 495-500. Date of Electronic Publication: 2015 Jan 05.
DOI:	10.1016/j.jmig.2014.12.165
Abstrakt:	Objective: To evaluate the changes in subendometrial blood flow and endometrial volume after hysteroscopic lysis of severe intrauterine adhesions (IUAs). Design: A pilot observational study. Forty infertile women with severe IUAs served as their own controls and were included in this study only once, to avoid selection bias. Intervention: Three-dimensional power Doppler ultrasound was performed in all patients 1 day before hysteroscopic lysis of severe IUA, and repeated 1 month later, to assess subendometrial blood flow [as measured by vascularization index (VI), flow index (FI), and vascularization flow index (VFI)] and endometrial volume. Main outcome measures were subendometrial blood flow (VI, FI, VFI) and endometrial volume. Results: There were statistically significant postoperative increases in endometrial volume, VI, FI, and VFI. Subendometrial blood flow improved in 14 women (35%), and menstrual improvement occurred in 15 women (37.5%). Conclusion: Hysteroscopic lysis of severe IUAs improves subendometrial blood flow, with subsequent increases in endometrial volume. (Copyright © 2015 AAGL. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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