[The prognostic value of pre- and postoperative adhesion scores (AS) and chromopertubation scores (CPS) in tubal interventions for sterility. 2. Postoperative rate of conception in relation to pre- and postoperative laparoscopy findings in tubal interventions for sterility].
In 97 female patients the respectively less damaged tube has been laparoscopically assessed with the help of on adhesions-score and a chromopertubation-score. The correlation to postoperative fertility has been examined. The rate of conception of patients who underwent a laparoscopic examination was 28.8%. The live birth rate was 17.5%, the rate of spontaneous abortions was 2.1% and the rate of ectopic pregnancies 9.2%. The preoperative adhesions-score doesn't allow prognostical statements, whereas the postoperative adhesions-score closely correlated with the postoperative rate of conceptions. Female patients with a preoperative partial tubal occlusion (CPS = 1) postoperatively chances of conceptions twice as high as female patients with a preoperatively total tubal occlusion (CPS = 2). A postoperative total tubal occlusion (CPS = 2) is a primary indication for in-vitro fertilization.
Römer
T
T
Klinik und Poliklinik für Gynäkologie und Geburtshilfe, Ernst-Moritz-Arndt-Universität Greifswald, Bundersrepublik Deutschland.
Lober
R
R
Göretzlehner
G
G
Nikschick
S
S
D000328:Adult; D005186:Fallopian Tube Patency Tests; D005260:Female; D005306:Fertilization; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy; D011184:Postoperative Period; D011237:Predictive Value of Tests; D011247:Pregnancy; D011271:Pregnancy, Ectopic; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000175:diagnosis*
Uber den prognostischen Wert des prä- und postoperativen Adhäsions-Scores (AS) und Chromopertubations-Scores (CPS) bei Sterilitätsoperationen an den Tuben. 2. Mitteilung: Postoperative Konzeptionsrate in Abhängigkeit von prä- und postoperativen Laparoskopiebefunden bei Sterilitätsoperationen an den Tuben.