Cornual patency and integrity following laparoscopic cornuotomy for interstitial pregnancy英文文献资料.docVIP

Open Journal of Obstetrics and Gynecology, 2012, 2, 127-130 OJOG /10.4236/ojog.2012.22024 Published Online June 2012 (http://www.SciRP.org/journal/ojog/) Cornual patency and integrity following laparoscopic cornuotomy for interstitial pregnancy Young-Sam Choi, Dae-Sook Eun, Yun-Sang Oh, Ji-No Park Department of Obstetrics and Gynecology of Eun Hospital, Kwang-Ju Metropolitan City, South Korea Email: yschoimd@yahoo.co.kr Received 29 March 2012; revised 23 April 2012; accepted 3 May 2012 ABSTRACT modified laparoscopic surgical technique for interstitial pregnancy in the preceding paper. The method termi- nated the interstitial pregnancy without major complica- tions and had potential probability for preservation of the affected cornu and salpinx [9]. In this study, we present the cornual patency and integrity after laparoscopic cor- nuotomy for interstitial pregnancy. Objective: To evaluate cornual patency and integrity following laparoscopic cornuotomy. Study Design: This is a prospective cohort study on seven women who underwent laparoscopic cornuotomy for interstitial pregnancy. The cornual patency and integrity were evaluated using hysterosalpingography (HSG) and magnetic resonance imaging (MRI). On MRI, the en- tire cornual wall thickness was measured bilaterally at 5-mm intervals. The thickness of the affected and unaffected cornua matched at the corresponding contralateral point in each of the women. Statistically, all possible pairwise 28 comparisons were compared using paired t-tests. Results: Among six eligible women, four women had excellent cornual patency on the af- fected side. Among seven women (i.e., 28 pairs), no significant difference was observed in cornual thick- ness compared to the unaffected cornu and no re- markable defects were seen in the endometrial and cornual contour. But there is no statistical signifi- cance. Conclusion: Laparoscopic c