TRANSCERVICAL ACCESS AND INTRALUMINAL IMAGING OF THE FALLOPIAN-TUBE IN THE NONANAESTHETIZED PATIENT - PRELIMINARY-RESULTS USING A NEW TECHNIQUE FOR FALLOPIAN ACCESS

被引：24

作者：

BAUER, O

DIEDRICH, K

BACICH, S

KNIGHT, C

LOWERY, G

VANDERVEN, H

WERNER, A

KREBS, D

机构：

[1] University of Bonn, Department of Obstetrics and Gynaecology, Bonn-Venusberg

[2] Imagyn Medical, Inc., California

来源：

HUMAN REPRODUCTION | 1992年 / 7卷

关键词：

FALLOPOSCOPY; TRANSCERVICAL CATHETERIZATION; INTRATUBAL INSEMINATION; HYSTEROSCOPY (LACK OF);

D O I：

10.1093/humrep/7.suppl_1.7

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

A study was performed to evaluate a new transcervical, Fallopian tube access system for use in falloposcopy procedures without the need for conventional hysteroscopy or uterine distension. Visualization was accomplished by the use of a 0.5 mm falloposcope which was delivered to the Fallopian tube by a new linear everting catheter. The linear everting catheter allows access to the Fallopian tube by means of a flexible, tubular rolling membrane which can safely negotiate the tortuous anatomy from the ostium to the ampulla. Concurrent laparoscopy was performed solely for supervision purposes and not for tubal manipulations in 13 Fallopian tube access procedures in 10 patients. The ostia were visualized in 12 cases and the Fallopian tube was accessed in all 12 without complications. As a precursor for future gamete and embryo transfer procedures, intra-tubal insemination was performed by visualizing the ostia, accessing the Fallopian tubes, and obtaining successful isthmic-ampullary, intra-luminal images.

引用

页码：7 / 11

页数：5

共 10 条

[1] Bauer O., Van Der Ven H., Diedrich K., Al-Hasani S., Krebs D., Gembruch U., Preliminary results of transvaginal tubal embryo stage transfer (TV-Test) without ultrasound guidance, Hum Reprod, 5, pp. 553-556, (1990)
[2] Bauer O., Diedrich K., Van Der Ven H., Al-Hasani S., Krebs, D. (1991) The transvaginal intratubal transfer A new treatment in male infertility, Frontiers in Human Reproduction In: Annals of the New Academy of Sciences, 626, pp. 467-477
[3] Corfman R., Falloposcopy: Frontiers realized… a fantastic voyage revisited, Fertil Steril, 54, pp. 574-576, (1990)
[4] De Bruyne F., Puttemans P., Boeckx W., Brosens I., The clinical value of salpingoscopy in tubal infertility, Fertil Steril, 51, pp. 339-345, (1989)
[5] Jansen R., Erson J., Sutherland P., Nonoperative embryo transfer to the fallopian tube. New Engl, J. Med, 319, pp. 288-291, (1988)
[6] Kerin J., Daykhovshy L., Segalowitz J., Surrey E., Erson R., Stein A., Wade M., Grundfest W., Falloposcopy: A microendoscopic technique for visual exploration of the human fallopian tube from the uterotubal ostium to the fimbria using a transvaginal approach, Fertil Steril, 54, pp. 390-399, (1990)
[7] Lisse K., Sydow P., Pfuller B., Wilken T., Scheiber I., Development of a method for transuterine gamete transfer - initial results, Zentralbl Gynakol, 111, pp. 469-472, (1989)
[8] Novy M., Thurmond A., Patton P., Uchida B., Rosch J. (19883 Diagnosis of cornual obstruction by transcervical fallopian tube cannulation, Fertil Steril, 50, pp. 434-440
[9] Risquez F., Boyer P., Rolet F., Magnani M., Guichard A., Cedard L., Zorn J., Retrograde tubal transfer of human embryos, Hum Reprod, 5, pp. 185-188, (1990)
[10] Thurmond A., Rosch J., Patton P., Burry K., Novy M., Fluoroscopic transcervical fallopian tube catheterization for diagnosis of treatment of female infertility caused by tubal obstruction, Radiographics, 6, pp. 621-640, (1988)

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