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Trans-abdominal ultrasound guided transvaginal hydrolaparoscopy is associated with reduced complication rate
Ma, Caihong1,2; Wang, Yang1; Li, T. C.1,3; Qiao, Jie1,2; Yang, Yan1; Song, Xueling1; Yang, Shuo1
关键词Transvaginal hydrolaparoscopy (THL) Ultrasound Polycystic ovary syndrome (PCOS) Ovarian drilling Endometriosis
刊名EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
2012-02-01
DOI10.1016/j.ejogrb.2011.11.008
160期:2页:166-169
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Obstetrics & Gynecology ; Reproductive Biology
研究领域[WOS]Obstetrics & Gynecology ; Reproductive Biology
关键词[WOS]INFERTILE WOMEN
英文摘要

Objective: To evaluate the feasibility and value of abdominal ultrasound guided access for transvaginal hydrolaparoscopy (THL).

Study design: One hundred and ninety-three infertile women were retrospectively included. A total of 31 subjects were included in the study group, and 162 cases performed prior to the introduction of transabdominal ultrasound guidance constituted a comparison group. The indications for THL were: inconclusive hysterosalpingogram findings and ovarian drilling for clomiphene-resistant polycystic ovarian disease. The total of complications arising from trocar needle insertions are compared between the study (ultrasound guidance) and comparison (without ultrasound guidance) groups.

Results: In the study group, two cases were transferred to standard laparoscopy without vaginal needle insertion because of no obvious fluid in the cul-de-sac. One of these cases was confirmed to have severe adhesions and the other had no pathology in the pelvic cavity. One further case was transferred due to severe adhesions found by THL. Twenty-nine patients had successful vaginal access including seven cases with a retroverted uterus (24.1%), as against only one case with retroverted uterus in the comparison group (0.6%). The difference was statistically significant (P < 0.05). There were three cases of intestinal perforation and one case of uterine injury in the comparison group, but no case of complication in the study group. Fifteen cases were fully conducted by two novel medical doctors monitored by a senior doctor.

Conclusions: Trans-abdominal ultrasound guided vaginal access increases the safety of THL, especially in patients with a retroverted uterus, by seeking out a better puncture spot, and making training more intuitive and safe. (C) 2011 Published by Elsevier Ireland Ltd.

语种英语
WOS记录号WOS:000300860600009
引用统计
被引频次:3[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/66920
专题北京大学第三临床医学院_生殖医学中心
北京大学第三临床医学院_妇产科
北京大学第三临床医学院_检验科
作者单位1.Minist Educ, Key Lab Assisted Reprod, Beijing 100191, Peoples R China
2.Sheffield Teaching Hosp, Sheffield, S Yorkshire, England
3.Peking Univ, Ctr Reprod Med, Dept Obstet & Gynecol, Hosp 3, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Ma, Caihong,Wang, Yang,Li, T. C.,et al. Trans-abdominal ultrasound guided transvaginal hydrolaparoscopy is associated with reduced complication rate[J]. EUROPEAN JOURNAL OF OBSTETRICS &amp; GYNECOLOGY AND REPRODUCTIVE BIOLOGY,2012,160(2):166-169.
APA Ma, Caihong.,Wang, Yang.,Li, T. C..,Qiao, Jie.,Yang, Yan.,...&Yang, Shuo.(2012).Trans-abdominal ultrasound guided transvaginal hydrolaparoscopy is associated with reduced complication rate.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,160(2),166-169.
MLA Ma, Caihong,et al."Trans-abdominal ultrasound guided transvaginal hydrolaparoscopy is associated with reduced complication rate".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 160.2(2012):166-169.
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