Yardımcı üreme teknolojileri tedavisi uygulanacak hastalarda uterin kavitenin ve fallop tüplerinin tek adımda değerlendirilmesi: Histeroskopi ile birlikte histerosalpingo-köpük sonografi (hyfosy)
Amaç: Biz bu çalışmada, yardımcı üreme teknolojileri tedavisi uygulanacak seçilmiş hastalarda tedavi öncesinde aynı seansta uygulanan histeroskopi ve histerosalpingo-köpük sonografinin etkinliğini değerlendirmeyi amaçladık. Gereç ve Yöntem: Bu retrospektif çalışma, 2017-2019 yılları arasında Başkent Üniversitesi Ankara Hastanesi İnfertilite Kliniği'ne başvuran 36 infertil kadını içermektedir. Merkezimizde, daha önce tubal açıklığı açısından değerlendirilmemiş veya yeniden değerlendirilmesi gereken hastalar için bir adımda histeroskopi ile HyFoSy uygulanmaktadır ve çalışmaya bu hastalar dahil edilmiştir. Bulgular: İki hastaya HyFoSy ile tubal obstrüksiyon tanısı konuldu ve histeroskopik tubal kateterizasyon ile tedavi edildi ve bu işlemden sonra tubal açıklık elde edildi. Önceki histerosalpingografi (HSG) raporları şüpheli olduğu için 7 hastaya (%19,49) HyFoSy uygulandı. Üç hastada, önceki HSG incelemesinde tubal obstrüksiyon görülmesine rağmen, HyFoSy uygulandığında köpüğün fallop tüplerinden karın boşluğuna normal geçişi gözlendi. Sonuç: Kliniğimizde uyguladığımız bu tek adımlı yöntem hem hastalar hem de klinisyenler için uygun görünmektedir, çünkü uygulanan yöntem bir sonraki ART girişiminden önce uterin kavitenin ve fallop tüplerinin değerlendirme adımlarını hızlandırmaktadır.
Anahtar Kelimeler:
Histeroskopi, İnfertilite, Histerosalpingo-köpük Sonografi, Histerokontrast sonografi
Evaluation of the uterine cavity and fallopian tubes in one step in patients undergoing assisted reproductive technology treatment: Hysterosalpingofoam sonography (hyfosy) in combination with hysteroscopy
Aim: To report on the utilization of hysterosalpingo-foam sonography (HyFoSy) with hysteroscopic evaluation for selected patients undergoing Assisted Reproductive Technology Treatment (ART), whereby we aimed to assess the effectiveness of HyFoSy before hysteroscopy. Material and Method: This retrospective study included 36 infertile women referred to Baskent University’s Ankara Hospital Infertility Clinic in 2017-2019. HyFoSy was applied with hysteroscopy in one step for patients who had not previously been evaluated for tubal patency or who had to be re-evaluated. Results: Two patients were diagnosed with tubal obstruction by HyFoSy and were treated with hysteroscopic tubal catheterization, and tubal patency was obtained after this procedure. HyFoSy was applied in seven patients (19.49%) because their previous hysterosalpingography (HSG) reports were doubtful. Although previous HSG had shown tubal obstruction in three patients, the standard passage of the foam from the fallopian tubes to the abdominal cavity was observed when HyFoSy was applied. Conclusion: The one-step method that we apply in our clinic seems appropriate for both patients and clinicians because it speeds up the evaluation steps of the uterine cavity and fallopian tubes before the next ART attempt.
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- Başlangıç: 2019
- Yayıncı: Sağlık Bilimleri Üniversitesi Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi
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