Karki S, Suwal S, Tamrakar S R, Poudel R
Department of Radiodiagnosis and Imaging, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel Hospital, Kavre, Nepal.
Department of Obstetrics and Gynecology, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel Hospital, Kavre, Nepal.
Kathmandu Univ Med J (KUMJ). 2016;14(55):258-263.
Background Fallopian tube and uterine abnormalities are the most common cause of female infertility, accounting for 30% of cases. Hysterosalpingography is the safe, minimal invasive radiographic technique for evaluation of uterine cavity and fallopian tubes defects. The purpose of the study was to assess the various uterine and tubal abnormalities leading to infertility Objective To assess the abnormalities in uterus and fallopian tubes detected on Hysterosalpingography (as causative factors of infertility in a tertiary care centre for proper decision making in treatment. Method This is the prospective cross sectional study done in department of radiology Dhulikhel hospital, Kathmandu University Hospital between January 2015 to January 2016 with complain of infertility. Hysterosalpingography was performed using ionic contrast medium (10-20 ml of 76% urograffin) under digital fluoroscopy. Radiographic films were obtained and analyzed. Demographic data and radiological findings were reviewed and the obtained data analyzed with SPSS version 16. Result Out of the total 100 patient, 75 had primary infertility while 25 had secondary infertility. The age ranged from 19 to 43 years with mean age of 27.75 years. Normal Hysterosalpingography findings were seen in 37% cases. Tubal abnormalities were seen in 34%, uterine abnormalities in 23% and both tubal and uterine abnormalities in 6% patients. The most common tubal abnormality detected on Hysterosalpingography was tubal block 75%. Out of the 30 patients who had tubal block, unilateral block was noted in 76.7% patients whereas bilateral block was noted in 23.3%. Hydrosalphinx was seen in 25% cases with tubal abnormality. Among the 29 cases with various uterine abnormalities, bicornuate uterus 9% was the most common abnormality Conclusion Hysterosalpingography is an easily available radiographic procedure that can demonstrate a wide variety of uterine and tubal abnormalities for the initial assessment of infertility which can avoid unnecessary and sometimes more aggressive procedures.
背景 输卵管和子宫异常是女性不孕最常见的原因，占病例的30%。子宫输卵管造影术是用于评估子宫腔和输卵管缺陷的安全、微创的放射学技术。本研究的目的是评估导致不孕的各种子宫和输卵管异常。目的 评估子宫输卵管造影术检测到的子宫和输卵管异常情况（作为三级医疗中心不孕的致病因素，以便在治疗中做出正确决策）。方法 这是一项前瞻性横断面研究，于2015年1月至2016年1月在加德满都大学医院杜利凯尔医院放射科进行，研究对象为不孕患者。在数字荧光透视下使用离子型造影剂（10 - 20毫升76%泛影葡胺）进行子宫输卵管造影术。获取并分析X线片。回顾人口统计学数据和放射学检查结果，并使用SPSS 16版软件对所得数据进行分析。结果 在总共100例患者中，75例为原发性不孕，25例为继发性不孕。年龄范围为19至43岁，平均年龄为27.75岁。37%的病例子宫输卵管造影术结果正常。34%的患者存在输卵管异常，23%存在子宫异常，6%的患者同时存在输卵管和子宫异常。子宫输卵管造影术检测到的最常见输卵管异常是输卵管阻塞，占75%。在30例输卵管阻塞患者中，76.7%的患者为单侧阻塞，23.3%为双侧阻塞。25%的输卵管异常病例可见输卵管积水。在29例存在各种子宫异常的病例中，最常见的异常是双角子宫，占9%。结论 子宫输卵管造影术是一种易于获得的放射学检查方法，可显示多种子宫和输卵管异常，用于不孕的初步评估，可避免不必要的、有时甚至更具侵入性的检查。
