ABSTRACT
Study on 219 infertility patients treated at Tu Du Hospital from September 2002 to May 2003, in order to evaluate the validity of hysterosalpinggography (HSG) for the diagnosis of tubal occlusion by direct laparoscopic assessment of tubal patent degree. The results showed that: HSG is valuable for the diagnosis of proximal tubal occlusion with the specificity of 72.24% and the negative predictive value of 96.4%. HSG is also considered as a screening test for the diagnosis of distal tubal occlusion with the sensitivity of 88.55% and the positive predictive value is 76.66%
Subject(s)
Sterilization, Tubal , DiagnosisABSTRACT
A study was carried out from March 2002 to May 2005 at Tu Du hospital included 230 patients with infertility due to distal tubal occlusion and adnexal adhesion to investigate some factors relating to infertility. The results showed that there were only two factors of married and infertility duration that related statistic significantly to tubal damage (p=0.000 and p=0.014, respectively). Therefore, the prevention for risk factors causing pelvic infection is important, and couples with infertility should be diagnosed and treated early
Subject(s)
Sterilization, TubalABSTRACT
A prospective cohort research was carried out from 3/2002 to 5/2005 at Tu Du hospital included 230 patients with infertility due to distal tubal occlusion and adnexal adhesion to assess the efficiency of tubosplasty and peritoneal adhelysis over a followed –up period of 17 to 38 moths. results: Rate of intrauterine pregnancy is 31.42% and pregnancy may be occurred until the 30th month of post operation while risk of ectopic pregnancy is 11% and it may be just occurred within 20 months of post operation. Conclusion: Laparoscopy plays an important role in treatment of infertility due to tubo-peritoneum. Fallopian tube is able villus genesis and instrinct-repair; however, treatment must be considered depending to stage of tubal-peritoneal damage to decrease risk of ectopic pregnancy.
Subject(s)
Infertility , Therapeutics , LaparoscopyABSTRACT
A study was carried out from March 2002 to May 2005 at Tu Du Hospital included 230 patients with infertility due to tubo-peritonitis to investigate the relation between the degrees of tubal damage and the out come of pregnancy after tuboplasty. Results: the intrauterine pregnancy rate in group without tubal damage (simple adnexal adhesion), with I degree, II degree, III degree was 54.09%, 39.81%, 15.57% and 4.88%, respectively and this difference is statistic significant (p=0.001). Proportion between ectopic and intrauterine pregnancy increase progressively depending to degree of tubal damage, 012, 038, 055 and 0199 respectively. Conclusion: the degrees of tubal damage related significantly to intrauterine pregnancy probability after tuboplasty.
Subject(s)
Pregnancy , InfertilityABSTRACT
The prospective cohort research was carried out on 167 patients with infertility due to distal tubal occlusion and peritoneal damage. Results showed that tubal damage was almost combined with adnexal adhesion (84.62 - 92.31%), only adnexal adhesion was one cause of infertility(15.38%). Tuboplasty laparoscopy was effective with intrauterine pregnancy rate was 18.35% and ectopic pregnancy rate was 1.9%, these gestations were obtained very early following the operation. After laparoscopy, pregnancy were obtained early, got the peak at the first year (96.88%) and then decreased progressively by the time
Subject(s)
Laparoscopy , Peritoneal DiseasesABSTRACT
The study was carried out on 219 infertility patients having hysterosalpingography (HSG) before surgery at Tu Du Hospital from Sept 2002 to May 2003 to evaluate the validity of HSG for the diagnosis of proximal and distal tubal occlusion. Results: HSG is highly valuable for diagnosis of proximal tubal patency, in case with proximal tubal occlusion it should be referred to laparoscopy. The role of HSG for diagnosis of distal tubal occlusion without hydrosalpinx is limited. In contrast, HSG is highly valuable in diagnosis of hydrosalpinx