Accuracy of Tubal Patency Assessment in Diagnostic Hysteroscopy Compared with Laparoscopy in Infertile Women: A Retrospective Cohort Study
| Autor: | Christine Kurz, Johannes Ott, Regina Promberger, Karin Obermaier, Inga-Malin Simek, Kazem Nouri |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Infertility medicine.medical_specialty Hysteroscopy Sensitivity and Specificity Fallopian Tube Patency Tests 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Laparoscopy Fallopian Tubes Hydrosalpinx Retrospective Studies 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Reproducibility of Results Obstetrics and Gynecology Retrospective cohort study Odds ratio Fallopian Tube Diseases medicine.disease Confidence interval Surgery medicine.anatomical_structure Female business Infertility Female Fallopian tube |
| Zdroj: | Journal of Minimally Invasive Gynecology. 25:794-799 |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2017.11.020 |
| Popis: | STUDY OBJECTIVE To evaluate whether the presence of a visualizable "flow" effect in the fallopian tube ostia in hysteroscopic routine evaluation is predictive of tube patency. DESIGN A retrospective cohort study (Canadian Task Force Classification II-2). SETTING Data from all patients who underwent surgery because of infertility at the study center between 2008 and 2016 were analyzed retrospectively. The main outcome parameter was fallopian tube patency as assessed by laparoscopic chromopertubation. The predictive parameters tested were the presence of hysteroscopic tube "flow," general patient characteristics, and intraoperative findings. PATIENTS Five hundred eleven infertile women who underwent combined hysteroscopy and laparoscopy were included. INTERVENTIONS All women underwent combined hysteroscopy and laparoscopy. Some had other interventions when necessary, but no additional interventions were taken because of this study. RESULTS In an analysis of 998 fallopian tubes, the hysteroscopic assessment of fallopian tube "flow" was highly accurate in predicting fallopian tube patency (p |
| Databáze: | OpenAIRE |
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