Inal Zeynep Ozturk, Inal Hasan Ali, Altunkeser Aysegul, Alkan Ender, Arslan Fatma Zeynep
Department of Reproductive Endocrinology, Konya Education and Research Hospital, Konya, Turkey.
Department of Radiology, Konya Education and Research Hospital, Konya, Turkey.
Curr Med Imaging Rev. 2019;15(8):777-784. doi: 10.2174/1573405614666180913114802.
To evaluate the hysterosalpingography (HSG) findings of women with infertility in a tertiary center located in central Turkey.
A total of 1,996 patients undergoing the HSG procedure for the investigation of infertility from April 2012 to 2017 were retrospectively evaluated using the archives of the reproductive endocrinology and radiology departments. Demographic and clinical characteristics of patients with normal HSG findings (n = 1,549) and patients with abnormal HSG findings (n = 447) were compared, and the distribution of pathologies on the HSG examinations was evaluated as well.
There were statistically significant differences between patients with normal and abnormal HSG findings in terms of age (25.68 ± 4.54 vs. 35.87 ± 2.65, p < 0.001), type (for secondary) and duration of infertility [43.1% vs. 50.6% (p = 0.006); 7 (1-22) vs. 2 (1-12) (p < 0.001), respectively], and baseline follicle stimulating hormone and estradiol levels [7.22 ± 1.38 vs. 7.55 ± 1.42 (p < 0.001); 45.54 ± 9.92 vs. 44.40 ± 9.99 (p < 0.001), respectively]. Among a total of 1,996 HSG examinations, 447 (22.39%) showed abnormalities, of which 237 (11.87%) were associated with tubal pathologies, 163 (8.17%) with uterine pathologies, and 47 (2.35%) with a combination of both. While the most common tubal pathology was one-sided distal tubal occlusion (2.91%), the most common uterine pathology was filling defects (4.16%).
HSG is the most commonly used, well-tolerated, low-cost, and safe radiological procedure to use for the investigation of the causes of female infertility.
评估位于土耳其中部的一家三级中心的不孕女性的子宫输卵管造影（HSG）检查结果。
回顾性分析2012年4月至2017年期间因不孕症接受HSG检查的1996例患者的生殖内分泌科和放射科档案。比较HSG检查结果正常的患者（n = 1549）和异常的患者（n = 447）的人口统计学和临床特征，并评估HSG检查中病变的分布情况。
HSG检查结果正常和异常的患者在年龄（25.68±4.54 vs. 35.87±2.65，p < 0.001）、不孕类型（继发性）和不孕持续时间[43.1% vs. 50.6%（p = 0.006）；分别为7（1 - 22）vs. 2（1 - 12）（p < 0.001）]以及基础促卵泡激素和雌二醇水平[分别为7.22±1.38 vs. 7.55±1.42（p < 0.001）；45.54±9.92 vs. 44.40±9.99（p < 0.001）]方面存在统计学显著差异。在总共1996次HSG检查中，447次（22.39%）显示异常，其中237次（11.87%）与输卵管病变有关，163次（8.17%）与子宫病变有关，47次（2.35%）与两者合并病变有关。最常见的输卵管病变是单侧远端输卵管阻塞（2.91%），最常见的子宫病变是充盈缺损（4.16%）。
HSG是用于调查女性不孕原因的最常用、耐受性良好、低成本且安全的放射学检查方法。
