沙特阿拉伯不孕女性的子宫和输卵管异常：一家教学医院的经验

Uterine and Tubal Abnormalities in Infertile Saudi Arabian Women: A Teaching Hospital Experience.

作者信息

Al-Turki Haifa A, Gullenpet Abid H, Syed Anjum, Al-Saif Hind S, Aldhafery Bander F

机构信息

Department of Obstetrics and Gynecology, College of Medicine, University of Dammam and King Fahd Hospital of the University, Al Khobar, Saudi Arabia.

Department of Radiology, College of Medicine, University of Dammam and King Fahd Hospital of the University, Al Khobar, Saudi Arabia.

出版信息

Saudi J Med Med Sci. 2016 May-Aug;4(2):89-92. doi: 10.4103/1658-631X.178293. Epub 2016 Mar 9.

DOI:10.4103/1658-631X.178293

PMID:30787704

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6298322/

Abstract

BACKGROUND AND OBJECTIVE

Hysterosalpingography (HSG) is commonly used in the evaluation of the subfertile and infertile women. This study was undertaken to assimilate the findings observed during HSG in Saudi Arabian infertile patients and to find the most common pathology identified by the HSG.

PATIENTS AND METHODS

A retrospective analysis was conducted of subfertile and infertile patients who had undergone HSG between June 2007 and May 2012. Patients' demographic data were collected from the medical records of the King Fahd Hospital of the University, Al Khobar, Saudi Arabia. The data included age, years of marriage, menstrual history either regular or irregular, primary/secondary infertility, hormonal profile, previous infection or pelvic surgery, and diagnostic laparoscopy. Radiographic reports of HSG were collected from the IPAC system and analyzed for fimbrial findings, tubal patency, and cervical and uterine cavitary pathology. The data were entered in the database and analyzed using a -test to compare means between the age, type of infertility, different pathologies and for all the parameters assessed. All tests were performed using Statistical Package for the Social Sciences, version 14.0, Chicago, Illinois, USA. A < 0.05 was considered statistically significant with a confidence interval of 95%.

RESULTS

Data from the medical records of 117 patients with an average age of 32.59 ± 5.48 years were analyzed. Of this total, 48 (41%) had been diagnosed as having primary infertility. In 95 (81.2%) patients, there was an abnormality in the fallopian tubes and in 27 (23%) patients, there was an abnormality in the uterus. Patients with primary infertility were significantly younger (29.7 ± 5.6 vs. 34.58 ± 4.75; < 0.001), and tubal and uterine pathology was more common ( < 0.08 and 0.01).

CONCLUSIONS

Our review indicates that the most common pathology found through HSG in women presenting with infertility is tubal blockage.

摘要

背景与目的

子宫输卵管造影术（HSG）常用于评估亚生育期及不孕女性。本研究旨在汇总沙特阿拉伯不孕患者HSG检查结果，并找出HSG检查发现的最常见病理情况。

患者与方法

对2007年6月至2012年5月期间接受HSG检查的亚生育期及不孕患者进行回顾性分析。患者人口统计学数据取自沙特阿拉伯胡拜尔法赫德国王大学医院的病历。数据包括年龄、结婚年限、月经史（规律或不规律）、原发性/继发性不孕、激素水平、既往感染或盆腔手术史以及诊断性腹腔镜检查结果。HSG的影像学报告从IPAC系统收集，并分析伞端情况、输卵管通畅性以及宫颈和子宫腔病理情况。数据录入数据库，采用t检验分析年龄、不孕类型、不同病理情况及所有评估参数之间的均值差异。所有检验均使用美国伊利诺伊州芝加哥市社会科学统计软件包第14.0版进行。P<0.05被认为具有统计学意义，置信区间为95%。

结果

分析了117例平均年龄为32.59±5.48岁患者的病历数据。其中，48例（41%）被诊断为原发性不孕。95例（81.2%）患者输卵管存在异常，27例（23%）患者子宫存在异常。原发性不孕患者明显更年轻（29.7±5.6岁对34.58±4.75岁；P<0.001），输卵管和子宫病理情况更常见（P<0.08和0.01）。