Department of Obstetrics and Gynecology, College of Medicine, University of Lagos, Lagos, Nigeria.
Department of Obstetrics and Gynecology, Lagos University Teaching Hospital, Lagos, Nigeria.
Pan Afr Med J. 2021 Dec 14;40:223. doi: 10.11604/pamj.2021.40.223.29890. eCollection 2021.
Hysterosalpingography (HSG) is an outpatient fluoroscopic method for the evaluation of the uterine cavity, fallopian tubes, and the surrounding peritoneal cavity. Female fertility depends greatly on normal female reproductive organs; hence tubal abnormalities may contribute significantly to female infertility. HSG is an invaluable screening tool in the evaluation of women with suspected tubal factor infertility. This study aims to review the HSG findings of women who sought fertility treatment at the Lagos University Teaching Hospital, Lagos (LUTH).
this was a retrospective study of the pattern of HSG findings among female partners of infertile couples seeking fertility treatment at the LUTH, over a 2-year period, from January 2018 to December 2019.
a total of 266 medical records and HSG results were reviewed and included in the data analysis. The mean age (± standard deviation) was 38.4 (± 0.3) years with a range of 24 to 50 years. Most (80.5%) of the participants have secondary infertility and majority (65.4%) were nulliparous. Tubal pathology was the commonest abnormality detected on HSG in 54.9% of women. About one-third (30.8%) of women had bilateral tubal occlusion on HSG. With regards to the right fallopian tube, 43.2% of the participants had tubal occlusion, which differs from 41.7% on the left fallopian tube. Similarly, 10.2% of the women had hydrosalpinx on the left tube when compared with 9% on the right tube. Age (OR 1.055; 95% CI: 1.006, 1.106, p-value 0.028), and previous salpingectomy [OR 6.151; 95% CI: 1.335, 28.349] and myomectomy [OR 4.6; 95% CI: 1.814, 11.67] were identified as risk factors for tubal pathologies on HSG.
tubal abnormalities are common findings on HSG and the identifiable risk factors for tubal pathologies include age, salpingectomy, and myomectomy. HSG remains a vital screening tool in the evaluation of tubal-factor infertility in Nigeria.
子宫输卵管造影术（HSG）是一种用于评估子宫腔、输卵管和周围腹腔的门诊荧光透视法。女性生育能力在很大程度上取决于正常的女性生殖器官；因此，输卵管异常可能对女性不孕有重大影响。HSG 是评估疑似输卵管因素不孕女性的一项非常有价值的筛查工具。本研究旨在回顾在拉各斯大学教学医院（LUTH）寻求生育治疗的女性的 HSG 结果。
这是一项回顾性研究，研究对象为 2018 年 1 月至 2019 年 12 月期间在 LUTH 寻求生育治疗的不孕夫妇中女性伴侣的 HSG 结果，共回顾了 266 份病历和 HSG 结果，并纳入数据分析。平均年龄（±标准差）为 38.4（±0.3）岁，范围为 24 至 50 岁。大多数（80.5%）参与者患有继发性不孕，大多数（65.4%）为未产妇。HSG 检测到的最常见异常是输卵管病变，占女性的 54.9%。约三分之一（30.8%）的女性 HSG 双侧输卵管阻塞。关于右侧输卵管，43.2%的参与者输卵管阻塞，而左侧输卵管为 41.7%。同样，左侧输卵管积水的女性占 10.2%，而右侧输卵管为 9%。年龄（OR 1.055；95%CI：1.006，1.106，p 值 0.028）和既往输卵管切除术[OR 6.151；95%CI：1.335，28.349]和子宫肌瘤切除术[OR 4.6；95%CI：1.814，11.67]被确定为 HSG 输卵管病变的危险因素。
HSG 常见输卵管异常，输卵管病变的可识别危险因素包括年龄、输卵管切除术和子宫肌瘤切除术。HSG 仍然是评估尼日利亚输卵管因素不孕的重要筛查工具。
