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KMID : 1189220100370040321
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Korean Journal of Reproductive Medicine
2010 Volume.37 No. 4 p.321 ~ p.327
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Efficacy of Transcervical Fallopian Tube Catheterization in Infertility Patients with Fallopian Tube Occlusion
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Park Chan-Woo
Cha Sun-Hwa
Yang Kwang-Moon
Han Ae-Ra
Yoo Ji-Hee
Song In-Ok
Kim Hye-Ok
Kang Inn-Soo
Koong Mi-Kyoung
Lee Kyung-Sang
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Abstract
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Objective: To evaluate the significance and efficacy of trans-cervical fallopian tube catheterization (TFTC) in diagnosis and optimal treatment modality for tubal blockage.
Methods: The retrospective study was performed in those underwent TFTC from January 2005 to December 2009. A total of 342 fallopian tubes in 215 patients which showed tubal blockage in hysterosalpingography (HSG), were subjected to TFTC. Recanalization rate (RR) was compared according to portion of tubal blockage; proximal, isthmic and distal portion and blockage type; tapering, concave, and convex type.
Results: In total, RR was 72.5% (248/342 tube). According to the portion of tubal blockage, RR was 83.8% in proximal, 45.6% in isthmic and 100% in distal portion. RR was 92.3% in tapering, 80.2% in concave and 25.5% in convex type, respectively. There were 98 pregnancies in 156 patients after successful recanalization, which shows 62.7% pregnancy rate.
Conslusion: TFTC were capable of recanalizing tubal blockage in 248 of 342 tubes in 156 of 215 patients (72.5%). The RR was increased with proximal portion and tapering type tubal blockage.
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KEYWORD
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Trans-cervical fallopian tube catheterization, Hysterosalpingography
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