The measurement of tubal perfusion pressures (TPP) is a recent advance in the field of gynaecoradiology. Measurement of TPP involves a standardized technique using transcervically placed tubal catheters which is reviewed in detail. TPP assesses the functional status of the Fallopian tubes, i.e. their ability to permit pregnancy. Infertile patients with normal TPP demonstrated a higher pregnancy rate (10 out of 23) than patients with elevated TPP (four out of 24, P < 0.05). Analysis of patients who had undergone a laparoscopy as well as measurement of TPP suggest that elevated TPP are highly indicative of tubal endometriosis. Tubal catheterization with wireguides was successful in reducing mildly elevated TPP. The impact of this procedure on pregnancy rates is not known. The use of the gynaecoradiological techniques discussed in this paper has reduced the need for diagnostic laparoscopy at our centre by >60%. This was achieved without compromise in pregnancy rates and has resulted in a considerable reduction in cost.

中文翻译：

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通过输卵管灌注压力测量评估输卵管功能状态。

输卵管灌注压力（TPP）的测量是妇科放射学领域的最新进展。TPP的测量涉及使用经宫颈放置的输卵管导管的标准化技术，对此进行了详细介绍。TPP评估输卵管的功能状态，即其允许怀孕的能力。TPP正常的不孕患者的妊娠率（23分之10）高于TPP升高的患者（24分之4，P <0.05）。对接受腹腔镜检查的患者进行的分析以及TPP的测量表明，TPP升高可高度指示输卵管子宫内膜异位症。导线导管输注导管成功地降低了TPP的轻度升高。该程序对怀孕率的影响尚不清楚。本文讨论的妇科放射学技术的使用使我们中心对诊断性腹腔镜检查的需求减少了60％以上。在不影响怀孕率的情况下实现了这一目标，并导致了成本的大幅降低。