De Muylder X
Service de Gynécologie-Obstétrique, Gweru Provincial Hospital, Zimbabwe.
Med Trop (Mars). 1995;55(2):160-4.
Infertility affects a great number of women in Black Africa and tubal obstruction seems to be common. Because of this high incidence, an accurate test for tubal patency is needed and several examinations have been proposed. Recent reports indicate that the method of choice is hysterosalpingography since it is simple, quick, and reliable. Concordance with laparoscopy, the gold standard, is 85% for assessment of tubal patency and 75% for detection of tubal abnormalities. Due to the lack of radiological facilities in most hospitals in Black Africa, a simplified examination is proposed and seems to be useful as an initial screening test. This simplified test consists of obtaining a delayed anteroposterior image after a brief walk. The most severe complication of hysterosalpingography is pelvic infection which occurs in 2 to 4% of cases and requires prophylactic antibiotic therapy. Interestingly an increase in pregnancy rate has been observed in the months after hysterosalpingography. Recent reports concerning infertility workups in developing countries confirm that the method of choice for assessment of tubal function is hysterosalpingography provided that the risk of infection can be controlled.
在黑非洲，不孕症影响着大量女性，输卵管阻塞似乎很常见。由于发病率高，需要一种准确检测输卵管通畅性的方法，人们已提出了几种检查方法。近期报告表明，首选方法是子宫输卵管造影术，因为它简单、快速且可靠。与腹腔镜检查（金标准）相比，评估输卵管通畅性的一致性为85%，检测输卵管异常的一致性为75%。由于黑非洲大多数医院缺乏放射设备，因此提出了一种简化检查方法，它似乎可用作初步筛查试验。这种简化试验包括在短暂行走后获取一张延迟前后位图像。子宫输卵管造影术最严重的并发症是盆腔感染，发生率为2%至4%，需要预防性使用抗生素治疗。有趣的是，在子宫输卵管造影术后的几个月里，观察到妊娠率有所提高。近期有关发展中国家不孕症检查的报告证实，只要感染风险能够得到控制，评估输卵管功能的首选方法就是子宫输卵管造影术。
