Elevated tubal perfusion pressures during selective salpingography are highly suggestive of tubal endometriosis

作者: Vishvanath C. Karande , Donna E. Pratt , Ramaa Rao , Martin Balin , Norbert Gleicher

DOI: 10.1016/S0015-0282(16)57962-X

关键词:

摘要: Objective To investigate the possible etiologies of elevated tubal perfusion pressures. Design Analysis 48 consecutive female patients with infertility who underwent laparoscopy and a gynecoradiological investigation as part their work-up. Setting Academically affiliated center. Interventions A was performed using previously reported standardized contrast injection system. Laparoscopy routinely. Results Patients demonstrated by to have endometriosis showed significantly increased incidence blockage during initial hysterosalpingography (HSG) (12/26, 46.1%) compared controls (2/14, 14.3%). also more frequently pressures (22/26; 84.6%) than women without disease 14.3%) higher mean normal pelvises (576±264 versus 450±268mm Hg). Conclusion Tubal HSG selective salpingography are highly suggestive endometriosis. These data first evidence that involvement may be frequent suspected. They suggest performance investigation, inclusive salpingography, can greatly contribute presumptive diagnosis

参考文章(8)
A F Haney, D L Olive, S Jenkins, Endometriosis: pathogenetic implications of the anatomic distribution. Obstetrics & Gynecology. ,vol. 67, pp. 335- 338 ,(1986)
Vishvanath C. Karande, Donna E. Pratt, Douglas S. Rabin, Norbert Gleicher, The limited value of hysterosalpingography in assessing tubal status and fertility potential Fertility and Sterility. ,vol. 63, pp. 1167- 1171 ,(1995) , 10.1016/S0015-0282(16)57591-8
Norbert Gleicher, Linda Redding, Michael Parrilli, Vishvanath Karande, Donna Pratt, Infertility: Wire guide cannulation alone is no treatment of proximal tubal occlusion Human Reproduction. ,vol. 9, pp. 1109- 1111 ,(1994) , 10.1093/OXFORDJOURNALS.HUMREP.A138641
Norbert Gleicher, Edmond Confino, Randle Corfman, Carolyn Coulam, Alan DeCherney, Gilbert Haas, Eugene Katz, Earle Robinson, Ilan Tur-Kaspa, Michael Vermesh, Surgery: The multicentre transcervical balloon tuboplasty study: conclusions and comparison to alternative technologies Human Reproduction. ,vol. 8, pp. 1264- 1271 ,(1993) , 10.1093/OXFORDJOURNALS.HUMREP.A138238
Norbert Gleicher, Michael Parrilli, Linda Redding, Donna Pratt, Vishvanath Karande, Standardization of hysterosalpingography and selective salpingography: a valuable adjunct to simple opacification studies. Fertility and Sterility. ,vol. 58, pp. 1136- 1141 ,(1992) , 10.1016/S0015-0282(16)55558-7
Edward E. Wallach, Ken N. Muse, Emery A. Wilson, How does mild endometriosis cause infertility Fertility and Sterility. ,vol. 38, pp. 145- 152 ,(1982) , 10.1016/S0015-0282(16)46449-6
Edward E. Wallach, Cecilia L. Schmidt, Endometriosis: a reappraisal of pathogenesis and treatment Fertility and Sterility. ,vol. 44, pp. 157- 173 ,(1985) , 10.1016/S0015-0282(16)48729-7
C. B Hammond, V. C. Buttram, W. C Andrews, H. H Thomas, J. C Weed, Revised American Fertility Society classification of endometriosis: 1985 Fertility and Sterility. ,vol. 43, pp. 351- 352 ,(1985)