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Tubal Adhesions
Objective: To prove that hysterosalpingographically (HSG), tubal lumen rague is one of the important parameters in tubal function to the ectent women. It is hoped that in the future rugae can be taken into account in the making of the assessment system of tubal function, in addition to the assessment of tubal adhesions. Design/data identification: Retrospective and analytical study for a period of 4 years. Subjects, patients, participants: Hysterosalpingography and diagnostic laparoscopy were conducted for 337 patients with infertility indications and tubal adhesions at laparoscopy. Result: In the group of endometriosis adhesions, no significant difference was found in terms of the presence and absence of tubal rugae as well as mild and moderate degrees of adhesions, with pregnancy incidence (p more than 0.05). However, an increase in adds ratio was found in 10 percent for negative rugae compared with positive rugae in terms of pregnancy incidence. The similar result was found for the adhesion of basic and severe degrees. In the group of infectioous adhesion, no significant difference was found in the presence and absence of tubal rugae as well as mild and moderate degrees of adhesions, with pregnancy incidence (p more than 0.05). Howeve, an increase in adds ratio was found to be higher that 10 percent for negative rugae compared with positive rufae in terms of pregnancy incidence. The similar result was found in the moderate and severe degree of adhesions. Conclusion: Tubal rugae is one of the important parameters in the cases of tubal adhesions for determining the prognosis of successful treatment. Hysterosalpingography is a feasible, inexpensive, and effective examination for analyzing tubal function. It is recommended that the assessment of tubal rugae be included in the classification of AFS (1988) for the assessment of adnexal adhesions.
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