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Human Reproduction, Vol. 14, No. 3, 704-706, March 1999
© 1999 European Society of Human Reproduction and Embryology

Laparoscopy-assisted intrapelvic sonography with a high-frequency, real-time miniature transducer for assessment of the Fallopian tube: a preliminary report

Daisaku Senoh1, Toshihiro Yanagihara2, Masashi Akiyama2, Yohichi Ohnishi2, Chizu Yamashiro2, Hirokazu Tanaka2, Keiji Hayashi2 and Toshiyuki Hata2,3

1 Department of Obstetrics and Gynecology, Tango Central Hospital, Kyoto 627, and 2 Department of Perinatology, Kagawa Medical University, 1750–1 Ikenobe, Miki, Kagawa 761–0793, Japan

Our purpose was to visualize normal and abnormal Fallopian tubes using laparoscopy-assisted intrapelvic sonography with a specially developed 20 MHz flexible catheter-based high-resolution, real-time miniature (2.4 mm outer diameter) ultrasound transducer in infertile women. A total of 21 women (20 infertile, one with unilateral hydrosalpinx, and one tubal pregnancy) were studied with pelvic saline effusion under laparoscopy. Fimbriae were clearly depicted with a cockscomb-like form in 95% of patients. All ampullae were visualized, and mucosal layers were clearly distinguished from muscle layers in 70% of patients. Scanty intratubal effusion was noted in 50% of patients, and tubal spastic findings were found in 10% of patients. In all, 60% of isthmuses were detected, and mucosal layers were distinguished from muscle layers in 30%. In the subject with hydrosalpinx, the tubal wall was thinner, and it was not possible to distinguish between muscle and mucosal layers. In the subject with a tubal pregnancy, the amniotic membrane and decidua were depicted more clearly than by transvaginal sonography. In conclusion, laparoscopy-assisted intrapelvic sonography with a high-frequency, real-time miniature transducer may be useful in the assessment of tubal texture and function in tubal disorders, possibly in infertility practice.

Key words: Fallopian tube/intrapelvic sonography/laparoscopy/miniature/ultrasound transducer

3 To whom correspondence should be addressed


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D. Senoh, H. Tanaka, M. Akiyama, T. Yanagihara, and T. Hata
Saline infusion contrast intrauterine sonographic assessment of the endometrium with high-frequency, real-time miniature transducer in normal menstrual cycle: a preliminary report
Hum. Reprod., October 1, 1999; 14(10): 2600 - 2603.
[Abstract] [Full Text] [PDF]



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