Use of hysteroscopic tubal catheterization and hydrotubation for evaluating tubal patency after laparoscopic operations for ectopic pregnancy
- VernacularTitle:宫腔镜下输卵管插管通液术对输卵管妊娠腹腔镜术后输卵管通畅度的评定价值
- Author:
Yaojuan HE
;
Yichuan FANG
;
Wan HUANG
- Publication Type:Journal Article
- Keywords:
Hysteroscopy;
Oviduct;
Hydrotubation;
Ectopic pregnancy
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the value of tubal catheterization and hydrotubation using hysteroscopy in the assessment of tubal patency after laparoscopic operations for ectopic pregnancy.Methods Hysteroscopic tubal catheterization and hydrotubation was carried out for evaluating tubal patency in 56 cases of ectopic pregnancy at 2~24 months after laparoscopic salpingectomy or salpingotomy. Results Of 15 cases of salpingectomy,unilateral complete tubal unobstructedness was achieved in 9 cases(60.0%).Of 41 cases of linear salpingotomy,bilateral tubal unobstructedness was found in 18 cases(43.9%) and unilateral in 18 cases(43.9%).A follow-up observation for 4~25 months(mean,10.8 months) in 37 women with childbearing demand showed normal intrauterine pregnancy in 20 cases(54.0%),intrauterine pregnancy after in vitro fertilization(IVF) in 3 cases,and recurrent ectopic pregnancy in 1 case(2.3%).Conclusions Hysteroscopic tubal catheterization and hydrotubation is a direct and accurate procedure for evaluating tubal patency after laparoscopic operations for ectopic pregnancy.It may be taken as a guide in evaluating the possibility of normal intrauterine pregnancy.
