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学科主题: 临床医学
题名:
Diagnosis and Treatment of Tubal Diverticula: Report of 13 Cases
作者: Han, Hongjing; Guan, Jing; Wang, Yanbin; Zhang, Qiuxiang; Shen, Huan
关键词: Endometriosis ; HSG ; Infertility ; Laparoscopy ; Tubal diverticula
刊名: JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
发表日期: 2014
DOI: 10.1016/j.jmig.2013.05.022
卷: 21, 期:1, 页:142-146
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Obstetrics & Gynecology
研究领域[WOS]: Obstetrics & Gynecology
关键词[WOS]: PERITONEAL-FLUID ; INFERTILE WOMEN ; FALLOPIAN-TUBE ; FALSE DIAGNOSIS ; ENDOMETRIOSIS ; OCCLUSION
英文摘要:

Tubal diverticula is a rare disease, and the literature includes only a few reports of this condition. We tentatively summarized 13 cases to investigate the clinical characteristics, diagnosis, and treatment of tubal diverticula. The clinical manifestations, diagnosis at hysterosalpingography (HSG), surgical treatment, and pregnancy rates of the 13 cases were retrospectively analyzed. Tubal diverticula is more prevalent in women with endometriosis than in infertile patients (6.7% vs 2.1%; p = .000). Eleven patients (84.6%) had endometriosis, which was in an early stage (I or II) in 9 patients (81.8%). HSG may reveal accumulation of radiopaque contrast medium around the distal end of the tubes, suggesting the presence of diverticula. All 13 cases were diagnosed via laparoscopy, and the diverticula were resected during surgery. Eleven of the 13 patients (84.6%) had >= 2 subtle tubal abnormalities. The pregnancy rate in 9 of the 11 patients with tubal diverticula was 81.8%, with 1 ectopic pregnancy (11.1%) and 1 spontaneous abortion (12.5%). HSG may be helpful in enabling the diagnosis of tubal diverticula. It is important that tubal diverticula be diagnosed via laparoscopy with use of diluted methylene blue dye and careful evaluation. (C) 2014 AAGL. All rights reserved.

语种: 英语
WOS记录号: WOS:000329889200023
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/65191
Appears in Collections:北京大学第二临床医学院_计划生育与生殖医学科_期刊论文

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作者单位: Peking Univ, Peoples Hosp, Reprod Med Ctr, Beijing 100044, Peoples R China

Recommended Citation:
Han, Hongjing,Guan, Jing,Wang, Yanbin,et al. Diagnosis and Treatment of Tubal Diverticula: Report of 13 Cases[J]. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY,2014,21(1):142-146.
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