Author/Editor		Virant, Irena
Title		Patologija sluznice kontralateralnega jajcevoda pri ženskah z zunajmaterničo nosečnostjo (salpingoskopska ocena)
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		2003
Volume		str. 40
Language		slo
Abstract		Background. Due to sexually transmitted pelvic inflammations, particularly to clinically silent salpingitis caused by Chlamydia trachomatis, the incidence of infertility due to pathological changes of the mucosa of the distal tube is rather high, and so is the incidence of ectopic pregnancy. The most important causes of ectopic pregnancy are postinflammatory changes of the mucosa of the ampullar part of the tube. After an episode of ectopic pregnancy, the ability to conceive in the uterus is substantially reduced. Intrauterine conception primarily depends on the condition of the contralateral tube, and less on the type of treatment of a previous tubal pregnancy. Therefore, the assessment of the status of the unaffected tube is decisive in prognosis and choice of treatment (microsurgery of the tube, in vitro fertilization). In our country the function of the tubal mucosa is routinely assessed by hysterosalpingography and chromoperturbation at laparoscopy, which do not, however, show the condition of the tubal mucosa. The aim of this study was to confirm the hypothesis that in women with ectopic pregnancy the incidence of pathologic changes in the ampullar part of the contralateral tube is higher than in fertile women, to evaluate the efficacy of salpingoscopy in the diagnosis and treatment of tubal infertility and ectopic pregnancy, and to introduce the method (salpingoscopy) for a direct assessment of the tubal mucosa. Patients and methods. In the period June 1998-April 2001 we enrolled 58 women in this prospective study. The study group consisted of 23 women who came to the Department of Obstetrics and Gynecology in Ljubljana for operation of tubal pregnancy or diagnostic laparoscopy after a previous tubal pregnancy and of 19 infertile women seeking diagnostic laparoscopy. (Abstract truncated at 2000 characters).
Descriptors		PREGNANCY, TUBAL LAPAROSCOPY SALPINGITIS ANTIBODIES, BACTERIAL CHLAMYDIA TRACHOMATIS PREGNANCY FERTILIZATION IN VITRO ADHESIONS PROSPECTIVE STUDIES