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대한생식의학회지 제20권 제1호 2010년
불임의 진단에 있어서 난관경의 임상적 이용
연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;
박기헌;박원일;이보연;이병식;조동제;송찬호;,
Clinical Value of Salpingoscopy in Infertility
Park, K.H.;Park, W.I.;Lee, B.Y.;Lee, B.S.;Cho, D.J.;Song, C.H.;
Department of Obstetrics and Gynecology, Yonsei University College of Medicine;Department of Obstetrics and Gynecology, Yonsei University College of Medicine;Department of Obstetrics and Gynecology, Yonsei University College of Medicine;Department of Obstetrics and Gynecology, Yonsei University College of Medicine;Department of Obstetrics and Gynecology, Yonsei University College of Medicine;Department of Obstetrics and Gynecology, Yonsei University College of Medicine;
Salpingoscopy may be helpful in the diagnosis of subclinical epithelial, vascular damage and stricture formation, which may playa significant role in infertility, or predispose women to tubal pregnancy, despite of clear demonstration of tubal patency on hysterosalpingogram. We explored the fallopian tube from the fimbriae to the ampullary-isthmic junction with small rigid flexible endoscope during laparoscopy in sixteen patients from July 1991 to Jan. 1992. All patients have been observed following salpingoscopy for several months. Three pregnancies were achieved in seven patients with bilaterally normal or minimally damaged tubal mucosa. In another five patients with moderate to severe tubal damage, we noted one tubal pregnancy. The other remaining patients are being followed up now. As conclusions, salpingoscopy seems to be an useful tool in the diagnosis of tubal lesions which are not identified by H.S.G., give much help to refine the indications for tubal microsurgery and the selection of patients for GIFT or IVF-ET and to determine the prognostic value in terms of risk for ectopic pregnancy.
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