The prevalence of fimbrial pathology in patients with early stages of endometriosis

被引:31
作者
Abuzeid, Mostafa I.
Mitwally, Mohamed F.
Ahmed, Abeer I.
Formentini, Elizabeth
Ashraf, Mohammad
Abuzeid, Omar M.
Diamond, Michael P.
机构
[1] Hurley Med Ctr, Ctr Reprod Med, Flint, MI 48503 USA
[2] IVF Michigan, Rochester Hills, MI USA
[3] Michigan State Univ, Coll Human Med, E Lansing, MI 48824 USA
[4] Wayne State Univ, Sch Med, Dept Obstet & Gynecol, Detroit, MI 48201 USA
[5] Hurley Med Ctr, Dept Obstet & Gynecol, Flint, MI 48503 USA
关键词
early stages of endometriosis; fimbrial pathology;
D O I
10.1016/j.jmig.2006.07.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
STUDY OBJECTIVE: The presence of fimbrial pathology in advanced endometriosis is clearly understood. However, little is known about the prevalence of fimbrial pathology in early stages of endometriosis. The purpose of this study is to determine the prevalence of fimbrial pathology in patients with infertility with early stages of endometriosis. DESIGN: Historical cohort study (Canadian Task Force classification II/III). SETTING: Tertiary referral center. PATIENTS: The study group (Group 1) consisted of 315 infertile women who were found to have stage I or stage II endometriosis, and the control group (Group 2) consisted of 152 infertile women without endometriosis (Group 2). INTERVENTION: Laparoscopic evaluation for the presence and type of fimbrial pathology. MEASUREMENTS AND MAIN RESULTS: The prevalence of fimbrial pathology was significantly higher in infertile patients with early stages of endometriosis (50.2%) compared with infertile patients with no endometriosis (17.8%, p < .0001). CONCLUSION: These preliminary data suggest the presence of fimbrial pathology in many patients with early stages of endometriosis. Such pathology may act as a mechanical factor interfering with the ovum pick-up mechanism. (C) 2007 AAGL. All rights reserved.
引用
收藏
页码:49 / 53
页数:5
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