Botwe Benard Ohene, Bamfo-Quaicoe Kwabena, Hunu Edem, Anim-Sampong Samuel
Department of Radiography, University Ghana School of Biomedical and Allied Health Sciences, College of Health Sciences, P.O. Box KB 143, Korle Bu, Accra, Ghana.
Fertil Res Pract. 2015 Jun 4;1:9. doi: 10.1186/s40738-015-0001-6. eCollection 2015.
Hysterosalpingography (HSG) is one of the commonly used radiological modalities for investigating infertility in women. In developing countries such as Ghana it remains the main tool for investigating some of the underlying causes of female infertility. The purpose of this study was to determine the predominance of various hysterosalpingographic results in patients that went through infertility work-up at the Korle-Bu Teaching Hospital between January 2011 and December, 2014. This is to help plan for preventive measures for the communities.
This study collected retrospectively, 1140 consecutive radiologic reports from January 2011 to December, 2014 from the Department of Radiology, Korle-Bu Teaching Hospital. These reports were reviewed and diagnoses made were evaluated with Microsoft Excel. Secondary infertility was 52.4 % prevalent and primary infertility was 41 % prevalent. While 453 (39.7 %) patients presented with normal findings, 153 (13.4 %) had hydrosalpinx, 498 (43.6 %) had tubal blockage, and 290 (25.4 %) had fibroids. Also there were 10 (0.9 %) cases of patulous cervices, 8 (0.8 %) cases of uterine synechiae, 62 (5.4 %) of irregular uterine outline, 15 (1.3 %) of irregular cervical outline, 3 (0.3 %) of arcuate uteri, and 5 (0.4 %) cases of retroverted uteri.
Tubal blockage which presented in 43.6 % of patients was the most common abnormal finding at HSG examinations carried out between January 2011 and December, 2014 at the KBTH. This was followed by fibroids with 25.4 % and hydrosalpinx with 13.4 %. Factors such as chronic pelvic inflammatory disease or pelvic infection following STIs, mismanaged pregnancies and septic abortions, may have accounted for this since the majority of the women presented with secondary infertility.
子宫输卵管造影术（HSG）是调查女性不孕症常用的放射学检查方法之一。在加纳等发展中国家，它仍然是探究女性不孕症一些潜在病因的主要工具。本研究的目的是确定2011年1月至2014年12月期间在科勒-布教学医院接受不孕症检查的患者中各种子宫输卵管造影结果的占比情况。这有助于为社区制定预防措施。
本研究回顾性收集了科勒-布教学医院放射科2011年1月至2014年12月期间连续的1140份放射学报告。对这些报告进行了审查，并使用Microsoft Excel对做出的诊断进行了评估。继发性不孕症患病率为52.4%，原发性不孕症患病率为41%。453例（39.7%）患者检查结果正常，153例（13.4%）有输卵管积水，498例（43.6%）有输卵管堵塞，290例（25.4%）有子宫肌瘤。此外，有10例（0.9%）宫颈松弛，8例（0.8%）子宫粘连，62例（5.4%）子宫轮廓不规则，15例（1.3%）宫颈轮廓不规则，3例（0.3%）弓形子宫，5例（0.4%）子宫后倾。
在2011年1月至2014年12月期间于KBTH进行的HSG检查中，43.6%的患者存在输卵管堵塞，这是最常见的异常发现。其次是子宫肌瘤，占25.4%，输卵管积水占13.4%。由于大多数女性表现为继发性不孕症，诸如慢性盆腔炎或性传播感染后的盆腔感染、处理不当的妊娠和感染性流产等因素可能是造成这种情况的原因。
