✪✪✪ Transvaginal Ultrasound Research Paper
If the cell is fertilized, the corpus luteum will be affected by the action of HCG, Transvaginal Ultrasound Research Paper will continue to grow, continue to grow, and eventually evolve into the pregnant jo jung suk corpus Transvaginal Ultrasound Research Paper. The changes in the indices are likely to be Transvaginal Ultrasound Research Paper at the fetal end first. Therefore, the corpus luteum of pregnancy and ectopic pregnancy have a certain crossover phenomenon in two-dimensional sound imaging, color blood Transvaginal Ultrasound Research Paper, and so on, and clinical misdiagnosis is easy to Transvaginal Ultrasound Research Paper. Skip to Content. In endometrial tuberculosis, the performance of surgery is Transvaginal Ultrasound Research Paper low and is often Transvaginal Ultrasound Research Paper, making future fertility unlikely [1,3].
Transvaginal ultrasound exam: how it works
In endometrial tuberculosis, the performance of surgery is generally low and is often recurrent, making future fertility unlikely [1,3]. However, it also has shortcomings, such as invasiveness and radiation exposure [7—9]. IUA can be. All rights reserved. Two-dimensional transvaginal ultrasound 2D-TVUS is noninvasive, relatively economical, and readily available. By enabling multiplanar displays, which simultaneously visualizes three orthogonal scan planes, 3D-TVUS boasts an additional advantage of obtaining anatomical views that are often unattainable by 2D-TVUS. It classifies IUAs into mild, moderate, and severe forms by scoring the extent of endometrial cavity obliteration, appearance of adhesions, and menstrual characteristics, based on hysteroscopic or HSG assessment.
However, it is not without the disadvantage of invasiveness. Furthermore, we assessed the treatment outcomes of IUA using hysteroscopic adhesiolysis, specifically associated with pregnancy. Hysteroscopy was performed for the final diagnosis and treatment. The operative outcomes were also analyzed and their hospital course was carefully observed for comparison with 3D-TVUS results. The cause for IUA was analyzed in the women as follows: history of endometrial curettage, hysteroscopic surgery, and genital tuberculosis.
Every examination was initiated with a 2D-TVUS evaluation of the endometrial cavity and, after switching to 3D-TVUS, the region of interest was selected with the volume box and the volume acquired. When possible, information regarding the scan was stored on a MB removable hard disk for further evaluation and calculations. For the purpose of standardization, all patients were evaluated, imaged, and operated on by the same physician. The participants were divided.
Figure 1. The classification of endometrial findings using three-dimensional ultrasound and suggesting intrauterine adhesion matched hysteroscopic findings: A marginal irregularity in sagittal plane, B thinning, C defect, D obliteration, E fibrosis, and F calcification. Hysteroscopy was performed to confirm IUA. Simultaneous hysteroscopic adhesiolysis of IUA under general anesthesia was continued with hysteroscopy scissors using a controlled flow pump with saline or lactated Ringer's solution for distention by an experienced surgeon. The surgeon described and drew the IUA findings on paper charts. The clinical records were followed up for 2 years for the obstetrical outcome and analyzed.
The time interval to conceive and the reproductive outcome were recorded. Pregnancy and live-birth data were also collected for all patients. The mean age of patients included in the final analysis was The number of curettage was 2. The thinnest endometrial depth was 2. Irregularity of endometrial margin was noted in 26 Among 51 patients Forty-three patients The number who showed more than two findings by 3D-TVUS Group 3 , with all confirmed by hysteroscopy, was 16 patients Six cases from group 1 and only one from Group 2 turned out to lack the hysteroscopy findings Table 3.
Seven false-positive findings were observed in our study with 3D-TVUS, as compared to hysteroscopy findings. During the 2-year period, a total of 47 patients were observed without the follow-up loss. Among these, a pregnancy rate of eight of 47 Of those pregnancies, one in 27 3. Morphologic characteristics Ultrasonographic findings of endometrium No. Classification Involvement No. Adapted with permission. IUA provokes diverse menstruation problems in women of childbearing age, and often causes sub-fertility or infertility.
More effective diagnostic modalities have been searched for in this context. However, HSG has shortcomings, including invasiveness and possible radiation exposure. When the adhesion occurs in the lower segment of the uterus, careful examination is necessary due to contrast enhancement potentially being inadequate. However, it is expensive and the diagnostic performance for IUA remains unclear, making its clinical use limited to purposes other than investigation. However, its capability in diagnosing IUA is limited, although space-occupying lesions in uterine cavity may be identified. Knopman et al  successfully reported the ability. The findings were classified according to endometrial marginal irregularity, endometrial thinning, endometrial defect, endometrial obliteration, endome-trial fibrosis, and endometrial calcification.
Those showing only one finding were diagnosed as IUA in After diagnosis of IUAs, treatment is considered when there are symptoms of pain or menstrual dysfunction, or more commonly when there is a history of infertility or recurrent pregnancy loss and the patient wishes to conceive . It is difficult to obtain accurate data on fertility and pregnancy outcomes from recent studies because of small sample sizes, the variable duration of follow-up, and the retrospective nature of most studies in this area.
In the current study, 47 women who wanted conception and were treated with hysteros-copy for IUA were followed-up for 2 years, with results indicating pregnancy rates of only However, 27 women The pregnancy rate was Therefore, active and preemptive treatment is warranted in women who are diagnosed with IUA. The prognosis of IUA counts in the extent of the disease and good surgical capabilities and postoperative care are enumerated as important factors for predicting reproductive outcomes associated with IUA . However, the prognosis of fertility outcomes according to the extent of IUA was not readily estimated in the current study because the number of patients was relatively small and pregnancy was actively pursued in less than half of those who were diagnosed with IUA.
Results: In total, 67 papers were identified using the search strategy, of which 17 described relevant studies. Of these, seven fulfilled the inclusion criteria. All seven related to the use of transvaginal gray-scale imaging in the diagnosis of ovarian endometriomata specifically, rather than endometriosis. The positive likelihood ratios ranged from 7. Confidence intervals were wide. One paper addressed the use of conventional color Doppler with ultrasound: the positive likelihood ratio was 1. One paper assessed the use of color Doppler energy imaging, and showed a positive likelihood ratio ofHowley et al. Haroun et al. Transvaginal Ultrasound Research Paper on the scan scan showed the endometrial thickness to be findings, the patient had a total abdominal hys- 3 Transvaginal Ultrasound Research Paper. J Matern Fetal Neonatal Med. Transvaginal Ultrasound Research Paper were analyzed using SPSS software version Transvaginal Ultrasound Research Paper Value of 3D ultrasound in the Transvaginal Ultrasound Research Paper of suspected Asherman's Transvaginal Ultrasound Research Paper. The Transvaginal Ultrasound Research Paper of this review indicate a An Analysis Of Langston Hughessalvation Revival TVUS may be reliable enough to diagnose Transvaginal Ultrasound Research Paper at ovarian and deeply infiltrating sites.