Salekhov SA, Nurmukhambetova BR, Konovalova MV, Prohorovich TI, Gaidukov SN
PATHOGENETIC SUBSTANTIATION TESTS FOR IMPAIRMENT OF TUBAL PATENCY FOR DETERMINING THE INDICATIONS FOR OPERATIVE TREATMENT TUBOPERITONEAL INFERTILITY. |
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Scientific Object Identifier: http://s-o-i.org/1.1/TAS-12-44-6
DOI: http://dx.doi.org/10.15863/TAS.2016.12.44.6
Language: Russian
Citation: Salekhov SA, Nurmukhambetova BR, Konovalova MV, Prohorovich TI, Gaidukov SN (2016) PATHOGENETIC SUBSTANTIATION TESTS FOR IMPAIRMENT OF TUBAL PATENCY FOR DETERMINING THE INDICATIONS FOR OPERATIVE TREATMENT TUBOPERITONEAL INFERTILITY. ISJ Theoretical & Applied Science, 12 (44): 29-33. Soi: http://s-o-i.org/1.1/TAS-12-44-6 Doi: http://dx.doi.org/10.15863/TAS.2016.12.44.6 |
Pages: 29-33
Published: 30.12.2016
Abstract: The relevance of tubal-peritoneal infertility problems due to its impact not only on women's reproductive health, but has sodialnoe, demographic and economic importance. The main area of research is to increase the effectiveness of surgical treatment of tubal-peritoneal infertility using microsurgical endovileohirurgicheskih and innovative technologies. Of great importance is a reliable diagnosis of interruption of tubal patency as a criterion tuboperitoneal infertility. Hysterosalpingography, gidrogisterosalpingoehografiya, contrast ehogisterosalpingografiya, multislice computed gisterosalpingografyui are the main non-invasive methods of diagnosis interruption of tubal patency, aimed at identifying organic changes in the fallopian tubes new direction in the diagnosis of tubal infertility is the study of the function of the reflex interruption of tubal patency. A method for the diagnosis of tubal patency in infertility atent RF 2522395), comprising carrying out a dynamic contrast ehogisterosalpingografii blockade on the background of pathological reflexes, leading to disruption of cross-reflex isthmic parts of the fallopian tubes. The theoretical basis is the principle of convergence and divergence pathological impulses, against which develops functional disorders in organs not involved in the primary pathological process. In a study of 89 women, aimed at operative treatment for tubal peritoneal infertility by the proposed method in 23 (25,4 ± 4,5%) patients had contrast flow into the fallopian tubes and then into the abdominal cavity. At the same time 7 (7,9 ± 2,7%) noted patency restoration of one of the fallopian tubes. That is, the use of contrast against the background of the blockade ehogisterosalpingografii pathological impulses to isthmic region of the fallopian tubes department revealed functional reflex cause violation of their patency. A promising area is the development of methods to assess the transport function of the fallopian tubes.
Key words: tubo-peritoneal infertility, tubal patency, ehogisterosalpingografiya, the transport function of the fallopian tubes, reflektornle tubal infertility, surgical treatment.
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