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Abstract:
AIM:To investigate the accuracy and clinical value of an adhesion scoring system using transvaginal ultrasonography for endometriotic adhesion. METHODS:In this prospective observational study, we included 131 patients with endometriosis who underwent surgery. Before surgery, transvaginal ultrasonography and adhesion mapping were performed to determine the presence or absence of adhesions at 10 sites of the pelvis. Mapping accuracy was determined by comparing the mapping findings with the surgical findings. To determine the severity of pelvic adhesions, we developed an adhesion score (0-10). With the adhesion score, we assessed the effect of surgical adhesiolysis and evaluated the relationship between postoperative adhesions and infertility. RESULTS:Of the 10 sites assessed for adhesions, the most frequent site of adhesions was the site between the left ovary and the uterus (70.5%). The overall sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio and accuracy of adhesion mapping were 80.4%, 86.1%, 78.8%, 87.2%, 5.79, 0.23 and 83.9%, respectively. The adhesion score in this system was significantly correlated with the adhesion-related score in the revised American Society for Reproductive Medicine classification (R2 = 0.734). Surgical adhesiolysis yielded only about 30% improvement postoperatively. The adhesion score 1 month after surgery in the non-in vitro fertilization (IVF) pregnancy group was significantly lower than that in the IVF pregnancy group (3.45 vs 5.21; P = 0.02). CONCLUSION:Our adhesion scoring system allowed an accurate prediction of the pelvic adhesion status and may potentially be an indicator of postoperative adhesions and infertility.
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最新影响因子:1.697 | 期刊ISSN:1341-8076 | CiteScore:1.28 |
出版周期:Bimonthly | 是否OA:YES | 出版年份:1996 |
期刊官方网址:http://obgyn.onlinelibrary.wiley.com/hub/journal/10.1111/(ISSN)1447-0756/
自引率:5.00% | 研究方向:医学-妇产科学 |
出版地区:AUSTRALIA |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology and aims to provide a medium for the publication of articles in the fields of obstetrics and gynaecology. The Journal publishes original research articles, review articles, short communications and editorials. Accepted papers become the copyright of the journal. Most material is reviewed by at least two referees expert in the field of the submitted paper.
《妇产科研究杂志》是亚洲大洋洲妇产科联合会和日本妇产科学会的官方期刊,旨在为妇产科领域的文章提供出版媒介。该杂志发表原创研究文章、评论文章、简短交流和社论。被接受的论文将成为该期刊的版权。大多数材料由至少两名评审专家在提交的论文领域进行评审。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
OBSTETRICS & GYNECOLOGY (妇产科学) 4区 |
71/82 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
267 | 252 | 15 |
引文计数(2018)
文献(2015-2017)
1243次引用
969篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Obstetrics and Gynecology
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#79/168
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研究方向:生命科学 发育生物学 生殖生物学
审稿时间: 1个月内
liting7111
研究方向:生命科学 发育生物学 生殖生物学
审稿时间: 1个月内
liting7111
研究方向:产科
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影响因子:2.076
ISSN:0919-6544
研究方向:医学-病理学
影响因子:7.611
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研究方向:医学-病理学
影响因子:15.887
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研究方向:医学-病理学
影响因子:3.154
ISSN:1433-7398
研究方向:医学-病理学
影响因子:1.136
ISSN:0722-5091
研究方向:医学-病理学
影响因子:6.25
ISSN:0305-1846
研究方向:医学-病理学
影响因子:2.357
ISSN:0893-0341
研究方向:医学-病理学
影响因子:3.148
ISSN:0022-3069
研究方向:医学-病理学
影响因子:3.428
ISSN:0903-4641
研究方向:医学-病理学
发表一篇学和医学成像类SCI论文
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