A study of second-look laparoscopy after acute salpingitis |
| |
Authors: | B Gerber A Krause |
| |
Institution: | (1) Department of Obstetrics and Gynecology, University of Rostock, P.O. Box 10 08 88, D-18055 Rostock, Germany, DE |
| |
Abstract: | Acute salpingitis (AS) has a major impact on the reproductive health of women. In this study second-look laparoscopy was
assessed for its ability to predict reproductive function after AS. We questioned 158 women who had had a second-look laparoscopy
with tubal dye insufflation after laparoscopically proven AS between September 1984 and August 1989. The answers of 69 women
with at least two years of involuntary infertility were analyzed. The mean follow-up period was 76 months (range 53–108 months).
Second-look laparoscopy revealed bilateral tubal occlusion in 21.7% (15/69). Bilateral tubal occlusion was found in 9.5% (2/21)
after mild stage, 20% (4/20) after moderate stage and 32.1% (9/28) after severe stage AS. The rate of infertility during follow-up
was 9.5% (stage I), 35% (stage II) and 39.9% (stage III). Eighty per cent (12/15) of women with proven bilateral tubal occlusion
after treated AS had involuntary infertility, and 14.8% (8/54; P=0.000001) of women with one or both tubes patent also had infertility. Specificity, sensitivity and positive predictive value
for subsequent infertility were 85.2%, 80% and 84.1%, respectively. Pelvic adhesions (21/69) were strongly correlated with
bilateral tubal occlusion (8/21; 38.1%; P=0.029), a history of chronic pelvic pain (14/21; 66.7%; P=0.00024), as well as failure to achieve an intrauterine pregnancy (10/21; 47.6%; P=0.024). Recurrent pelvic infections occurred in 16% (12/69) and ectopic pregnancies in 7.3% (5/69). Operations for infertility
and pelvic pain (excluding ectopic pregnancy), were carried out in 11.6% (8/69). We conclude that second-look laparoscopy
after treated AS have accurate evaluation of reproductive function.
Received: 10 January 1996 / Accepted: 29 April 1996 |
| |
Keywords: | : Salpingitis Follow-up Fertility Tubal patency Laparoscopy |
本文献已被 SpringerLink 等数据库收录! |
|