کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6182375 1253527 2013 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The international agreement study on the diagnosis of the septate uterus at office hysteroscopy in infertile patients
ترجمه فارسی عنوان
توافقنامه بین المللی بر روی تشخیص رحم جدی در بیماران هیستروسکوپی اداری در بیماران نابارور
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectiveTo assess the international agreement on the hysteroscopic diagnosis of septate uterus.DesignInterobserver study.SettingEight hysteroscopy recordings were put online on the website of the European Society of Gynaecological Endoscopy.Patient(s)Asymptomatic, infertile women indicated for a first in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) treatment cycle.Intervention(s)Office hysteroscopy.Main Outcome Measure(s)The interobserver agreement on the uterine shape and necessity to correct the abnormality found.Result(s)Seventy-eight observers from 24 different countries assessed 8 hysteroscopy recordings. The interobserver agreement on uterine shape variations septate and arcuate was fair (intraclass correlation coefficient = 0.27). Observers from the same country reached a significantly higher level of agreement. The agreement on the necessity of correction was poor (intraclass correlation coefficient = 0.17). The most distinct features for diagnosing a septate uterus judged to be the extent of endocavitary bulging and the angle of the bulging structure from the fundal area.Conclusion(s)The agreement among international experts on the hysteroscopic diagnosis of the septate uterus was found to be poor. This may have implications for the accuracy of screening hysteroscopy for diagnosing uterine cavity abnormalities in infertile patients. Development of consented definitions for the hysteroscopic diagnosis of septate and arcuate uterus is recommended.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Fertility and Sterility - Volume 99, Issue 7, June 2013, Pages 2108-2113.e2
نویسندگان
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