加纳不孕女性的子宫输卵管造影结果：一项五年趋势分析。
Hysterosalpingographic Findings Among Ghanaian Women with Infertility: A Five-year Trend Analysis.
作者信息
Edzie Emmanuel Kobina Mesi, Dzefi-Tettey Klenam, Gorleku Philip Narteh, Brakohiapa Edmund Kwadwo Kwakye, Amedi Michael Kofi, Quarshie Frank, Asemah Abdul Raman, Nimo Obed, Abdulai Abubakari Bawah, Akorli Emmanuel, Edzie Richard Ato, Anthony Richard, Boadi Evans, Kpobi Joshua Mensah, Amankwa Nana Ama, Amartey Aaron, Turkson Veronica, Mensah Stella, Dziwornu Prosper, Edzie Alfred, Afful Roger, Coffie Bright Appiah, Kusodzi Henry
机构信息
Department of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana.
Faculty of Radiology, Ghana College of Physicians and Surgeons, Accra, Ghana.
出版信息
Oman Med J. 2024 Mar 31;39(2):e609. doi: 10.5001/omj.2024.57. eCollection 2024 Mar.
OBJECTIVES
To understand the pattern of hysterosalpingographic (HSG) findings and annual trends among Ghanaian women with infertility over a five-year period.
METHODS
We retrospectively evaluated the hospital medical records of women with infertility who underwent HSG at a major tertiary center in Ghana between January 2018 and December 2022. The data was statistically analyzed.
RESULTS
The subjects comprised of 2324 Ghanaian women diagnosed with clinical infertility. HSG identified 1685 (72.5%) with primary infertility and they were also younger women with a mean age of 32.2±4.5 years. The remaining 639 (27.5%) women had secondary infertility and were older (34.2±5.3 years; < 0.001). Primary infertility rate decreased with increasing age ( < 0.001). Bilateral tubal blockage was seen in 701 (41.6%) women with primary infertility and 365 (57.1%) women with secondary infertility. Hydrosalpinx was present in 236 (10.2%) women, fimbrial adhesions in 444 (19.1%), Asherman's syndrome in four (0.2%), and bilateral beaded tubes/tubercular salpingitis in five (0.2%). HSG was unable to detect infertility-related abnormalities in 513 (22.1%) women despite their clinical infertility. The majority of patients (1502; 64.6%) had tubal blockage: bilateral in 1066 (45.9%) and unilateral in 436 (18.8%).
CONCLUSIONS
Infertility rates among Ghanaian women increased at an accelerating rate over the years. Primary infertility was significantly more prevalent among younger women. Tubal and cervical abnormalities were the most prevalent HSG findings.
目的
了解加纳不孕女性五年内子宫输卵管造影（HSG）检查结果模式及年度趋势。
方法
我们回顾性评估了2018年1月至2022年12月在加纳一家大型三级中心接受HSG检查的不孕女性的医院病历。对数据进行了统计分析。
结果
研究对象包括2324名被诊断为临床不孕症的加纳女性。HSG检查发现1685例（72.5%）为原发性不孕，这些女性年龄较轻，平均年龄为32.2±4.5岁。其余639例（27.5%）为继发性不孕，年龄较大（34.2±5.3岁；P<0.001）。原发性不孕率随年龄增长而下降（P<0.001）。原发性不孕女性中有701例（41.6%）出现双侧输卵管堵塞，继发性不孕女性中有365例（57.1%）出现双侧输卵管堵塞。236例（10.2%）女性存在输卵管积水，444例（19.1%）存在伞端粘连，4例（0.2%）存在阿谢曼综合征，5例（0.2%）存在双侧串珠样输卵管/结核性输卵管炎。尽管513例（22.1%）女性有临床不孕症，但HSG检查未能发现与不孕相关的异常。大多数患者（1502例；64.6%）存在输卵管堵塞：双侧堵塞1066例（45.9%），单侧堵塞436例（18.8%）。
结论
加纳女性的不孕率多年来呈加速上升趋势。原发性不孕在年轻女性中更为普遍。输卵管和宫颈异常是HSG检查中最常见的结果。
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