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001-es BibID:BIBFORM066662
Első szerző:Török Péter (szülész-nőgyógyász)
Cím:A Novel Method of Selective Chromopertubation at Office Hysteroscopy / Török Péter
Dátum:2016
Megjegyzések:Introduction: Tubal dysfunction is diagnosed as an underlying cause of infertility in morethan one third of cases. Laparoscopy dye is the gold standard procedure to detect tubal patency,but hysterosalpingography (HSG) and hystero-contrast-sonography (HyCoSy) is also used. Officehysteroscopy guided selective chromopertubation (OHSC-SPT) is a less invasive and reproduciblemethod, which can be performed in an outpatient setting without anesthesia, therefore it can be carriedout as an outpatient procedure.Method: For the examination an office hysteroscope is used. A 1.7 mm diameter flexible plasticcatheter is inserted through an inbuilt channel of the sheath. Normal saline is used for distention. Thehysteroscope is introduced without grasping or dilatation of the cervix. First, diagnostic hysteroscopyis performed, then the catheter is inserted through the working channel and the tip of it is placed intothe tubal orifice, through which methylene blue dye is injected slowly. If the tube is patent the blue dyedoes not appear in the uterine cavity and the normal color of the endometrium is seen. In case of tubalocclusion the distention media of the uterine cavity turns blue, due to the back-flow of the methyleneblue.Conclusion: After gathering additional experience the novel method of OHSC-SPT could beconsidered as an effective, minimally invasive method to investigate tubal patency, which can beperformed in an office setting without anesthesia.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
office hysteroscopy
pertubation
tubal patency
infertility
Megjelenés:Journal of Gynecological Research and Obstetrics 2 : 1 (2016), p. 031-032. -
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