Garcia Grau Emma, Checa Vizcaíno Miguel Ángel, Oliveira Mário, Lleberia Juanós Judith, Carreras Collado Ramon, Canet Estevez Yolanda
Department of Obstetrics and Gynecology, Corporació Sanitària Parc Taulí, 08208 Sabadell, Barcelona, Spain.
Obstet Gynecol Int. 2011;2011:547946. doi: 10.1155/2011/547946. Epub 2011 Sep 27.
After an ectopic pregnancy (EP) fertility decreases, mostly due to tubal factor. Hysterosalpingography (HSG) is the most cost-effective tool for tubal patency assessment. Objective. To evaluate the usefulness of a HSG after a medical treatment for an EP, in order to counsel women on the most appropriate way to conceive future pregnancies. Methods. Between 1998 and 2008, 144 patients were submitted to medical treatment for an EP and performed HSG 3 months after the event. Results. 72.2% of normal HSG, 18.8% with unilateral obstruction, 6.3% tubal patency with defect, and 2.8% bilateral obstruction. Conclusion. Routine HSG following medical treatment for an EP does not seem necessary, as it does not change the initial management in 97.2% of the cases, but might be considered in selected risk cases, permitting timely referral of patients to in vitro fertilization.
异位妊娠（EP）后生育能力会下降，主要原因是输卵管因素。子宫输卵管造影术（HSG）是评估输卵管通畅性最具成本效益的工具。目的：评估药物治疗EP后进行HSG的实用性，以便为女性提供关于未来怀孕最合适受孕方式的咨询。方法：1998年至2008年间，144例患者接受了EP的药物治疗，并在治疗后3个月进行了HSG检查。结果：HSG正常者占72.2%，单侧阻塞者占18.8%，输卵管通畅但有缺陷者占6.3%，双侧阻塞者占2.8%。结论：EP药物治疗后常规进行HSG似乎没有必要，因为在97.2%的病例中它不会改变初始治疗方案，但在选定的风险病例中可以考虑进行，以便及时将患者转诊至体外受精。
