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Hysteroscopic selective salpingography.

Abstract：

OBJECTIVE:To evaluate the effectiveness of hysteroscopic selective salpingography (HSS) as a method for diagnosing the tubal proximal occlusion shown by hysterosalpingography (HSG). DESIGN:Prospective study. SETTING:Outpatient Department of Obstetrics and Gynecology, Social Insurance Saitama Chuo Hospital, Urawa, Japan. PATIENT(S):A total of 572 infertile women underwent HSG. Forty-seven of 50 women with unilateral or bilateral proximal tubal occlusion demonstrated by HSG underwent HSS. INTERVENTION(S):Hysteroscopic selective salpingography was performed for the diagnosis of tubal occlusion in cases in which the proximal tubal occlusion was shown by HSG. MAIN OUTCOME MEASURE(S):Number of patients who underwent HSS and pregnancy rate after HSS. RESULT(S):Twenty-seven (79.4%) of 34 patients with unilateral occlusion diagnosed by HSG were shown to have normal patency by HSS. Of 12 women with bilaterally normal patent tubes confirmed by HSS, 8 (66.7%) achieved normal pregnancies within 1 year. Seven (53.8%) of 13 patients with bilateral occlusion found by HSG were shown to have normally patent tubes by HSS. CONCLUSION:The simple method of HSS was clinically effective for evaluating the presence of proximal tubal occlusion.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Inagaki N,Sato K,Toyoshima K,Ito K,Kitai H,Gabionza DT,Yoshimura Y

doi

10.1016/s0015-0282(99)00324-6

keywords:

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

733-6

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(99)00324-6

journal_volume

72

pub_type

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