Subendometrial Blood Flow Changes by 3-Dimensional Power Doppler Ultrasound After Hysteroscopic Lysis of Severe Intrauterine Adhesions: Preliminary Study
| Autor: | Omar H. Omar, Mohamed E S Hamed, Mohamed I. Amer, Enas G. Dahroug |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Treatment outcome Pilot Projects Tissue Adhesions Hysteroscopy Endometrium Imaging Three-Dimensional medicine Humans Uterine Diseases Gynecology medicine.diagnostic_test business.industry Ultrasound Outcome measures Obstetrics and Gynecology Ultrasonography Doppler Blood flow Power doppler ultrasound Ultrasonography doppler Treatment Outcome medicine.anatomical_structure Regional Blood Flow Egypt Female business Infertility Female |
| Zdroj: | Journal of Minimally Invasive Gynecology. 22:495-500 |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2014.12.165 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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