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学科主题: 临床医学
题名:
Trans-abdominal ultrasound guided transvaginal hydrolaparoscopy is associated with reduced complication rate
作者: 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
发表日期: 2012-02-01
DOI: 10.1016/j.ejogrb.2011.11.008
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/66920
Appears in Collections:北京大学第三临床医学院_生殖医学中心_期刊论文

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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

Recommended Citation:
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.
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