Wansaicheong G K, Ong C L
Department of Diagnostic Imaging, KK Women's and Children's Hospital, Singapore.
Singapore Med J. 1998 Mar;39(3):97-100.
Intramural tubal polyps are commonly described in association with subfertility. However, there is unfamiliarity among clinicians about the investigations available for making a diagnosis of this condition. The objective of this paper was to highlight the suitable investigations for diagnosis and thus increase awareness of this condition and its relationship with subfertility.
A retrospective review of 14 patients with intramural tubal polyps was done for the period from January to December 1996. An attempt was made to correlate the radiographic findings on hysterosalpingography with transvaginal ultrasound examinations and hydrochromotubation performed under laparoscopic observation. The fertility history of these patients was also examined.
The review demonstrated a prevalence of 3.8% of intramural tubal polyps in a selected population of predominantly subfertile women. Only hysterosalpingography was useful in making the diagnosis in-vivo. Fifty percent of the patients did not have any other obvious pathology to explain their subfertility.
We conclude that meticulous hysterosalpingography is useful as a diagnostic investigation and that consistent reporting is needed for good follow-up.
输卵管壁内息肉通常与生育力低下相关。然而，临床医生对可用于诊断这种疾病的检查并不熟悉。本文的目的是强调适合诊断的检查方法，从而提高对这种疾病及其与生育力低下关系的认识。
对1996年1月至12月期间的14例输卵管壁内息肉患者进行回顾性研究。试图将子宫输卵管造影的影像学结果与经阴道超声检查以及在腹腔镜观察下进行的输卵管通液术结果进行关联。还对这些患者的生育史进行了检查。
该回顾显示，在以生育力低下为主的特定人群中，输卵管壁内息肉的患病率为3.8%。仅子宫输卵管造影对活体诊断有用。50%的患者没有任何其他明显的病理情况来解释其生育力低下。
我们得出结论，细致的子宫输卵管造影作为一种诊断检查是有用的，并且为了良好的随访需要进行一致的报告。
