Role of Saline Infusion Sonohysterography in Detection of Pelvic Adhesions in Infertile Women
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Diagnostic Accuracy of saline infusion sonohysterography (SIS): sensitivity,specificity, positive predictive value(PPV) and negative predictive value (NPV) for detecting pelvic Adhesions compared to Laparoscopy in infertile women
研究概览
简要总结
Infertility is agrowing concern affecting million of couples worldwide,with infertility being asignificant subset, infertility is define as inability to achieve pregnancy after one year of regular unprotected sexual intercours Among these , pelvic Adhesions present amajor challenge in reproductive medicine as they can lead to tubal occulsion and uterine cavity distortion Saline infusion sonohysterography (SIS)has emerged as minimally invasive,cost effected,and well tolerated alternative for assessing uterine and tubal abnormalities in infertile patient SIS involve the introduction of sterile saline into the uterine cavity under ultrasound guidance ,enhancing the visualization of Endometrial lining, intrauterine abnormalities and tubal patency,compared to HSG, SIS offer several advantages including the avoidance of radiation exposure, better patient comfort and the ability to stimultaneously assess the myometrium and adenxal structure
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •infertile women aged 18-45yr Patient suspected to have pelvic Adhesions Women with normal ovulatory function and normal husband semen analysis
排除标准
- •active pelvic infection or abnormal vaginal bleeding Pt with cervical stenosis Congenital uterine mullerian anomalies Pt with pelvic malignancy
研究组 & 干预措施
Infertile women with pelvic Adhesions
Infetile women with pelvic Adhesions ond normal ovulatory function and normal husband semen analysis
干预措施: Saline infusion sonohysterography in Detection of pelvic Adhesions in infertile women (Diagnostic Test)
结局指标
主要结局
Diagnostic Accuracy of saline infusion sonohysterography (SIS): sensitivity,specificity, positive predictive value(PPV) and negative predictive value (NPV) for detecting pelvic Adhesions compared to Laparoscopy in infertile women
时间窗: One year
dorsolithotomy position and Speculum insertion into vagina and catheter insetion into uterine cavity inflated with 1\_2ml of saline to secure placement with infusion of 10\_20 ml of sterile saline into uterine cavity through the catheter while performing transvaginal ultrasound imaging
次要结局
- Uterune and tubal findings: presence of tubal blockage, hydrosalpinx or peritoneal adhesions(One year)
研究者
Aya Sabry Abdelkarim
Resident of Obestetrics and gynacology department Sohag University hospital
Sohag University