Evaluation of Tubal Mucosal Status Using Hysteroscopy in Patients with Hydrosalpinx
ZHOU Qiao-yun
HUANG Xiao-wu
Abstract：Objective:To evaluate the tubal mucosal status using hysteroscopy as a succedaneum of salpingoscopy in those patients with hydrosalpinx.Methods:A total of 64 infertility patients who underwent laparoscopic tubal anaplasty due to unilateral or bilateral tubal hydrosalpinx were recruited between January 2013 to December 2015.Hysteroscopy was used as a succedaneum of salpingoscopy to evaluate the mucosa of the tubal ampulla,while the r-AFS staging system was also used.The patients were followed up for 6 to 42 months after surgery.Four cases were lost in follow-up.Results:Among the 60 patients,18 cases got natural intrauterine pregnancy.Among them,16 cases were classified as grade Ⅰ,with the pregnancy rate 66.7％ (16/24);2 cases were classified as grade Ⅱ,with the pregnancy rate 12.5％ (2/16).There was a significant difference in the rate of natural intrauterine pregnancy between the grade Ⅰ group and the grade Ⅱ group (P=0.003).There were 8,4 and 6 patients who got their natural intrauterine pregnancy in the r-AFS's grade Ⅰ,Ⅱ and Ⅲ group,respectively.There is no correlation between the rate of natural intrauterine pregnancy and the r-AFS's score (x2=1.905,P=0.442).Conclusions:There is a significant correlation between the score evaluated by hysteroscopy as a succedaneum of salpingoscopy with the pregnancy outcome,suggesting that this is a alternative clinical method.
Keywords：EndoscopyHysteroscopySalpingitisFallopian tubesMucous membraneSalpingoscopy
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 195-198 )