Hysterosalpingographic findings in women with genital tuberculosis.

Iranian Journal of Reproductive Medicine Pub Date : 2015-05-01

Donya Farrokh, Parvaneh Layegh, Monavvar Afzalaghaee, Mohaddeseh Mohammadi, Yalda Fallah Rastegar

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Abstract

Background: Genital tuberculosis (TB) is an important cause of infertility in the developing countries, where hysterosalpingography (HSG) remains an initial diagnostic procedure in the evaluation of tubal and peritoneal factors leading to infertility.

Objective: The aim of this study was to determine the HSG findings of genital TB in infertile women.

Materials and methods: We retrospectively reviewed HSG findings in 20 women with genital tuberculosis. HSG was performed in these women as part of infertility work up over 5 years. The other diagnostic procedures used included endometrial curettage and biopsy, histological examination, culture, laparoscopy, hysteroscopy and polymerase chain reaction.

Results: The mean age of the participants was 30.5±8 years. All women had clinical history of infertility for at least 4 years. Women presented with pelvic abdominal pain (30-35%) and menstrual disturbances (20-25%). Reviewing 20 cases of female genital TB were encountered various presentations on HSG.

Conclusion: HSG is an invaluable procedure in suggesting the diagnosis of genital TB in patients being investigated for infertility.

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女性生殖器结核的子宫输卵管造影结果。

背景:在发展中国家，生殖器结核(TB)是导致不孕症的重要原因，在这些国家，子宫输卵管造影(HSG)仍然是评估导致不孕症的输卵管和腹膜因素的初步诊断程序。目的:本研究的目的是确定不孕妇女生殖器结核的HSG表现。材料和方法:我们回顾性分析了20例女性生殖器结核患者的输卵管造影结果。作为不孕不育治疗的一部分，输卵管造影在这些妇女中进行了超过5年。使用的其他诊断程序包括子宫内膜刮除和活检、组织学检查、培养、腹腔镜检查、宫腔镜检查和聚合酶链反应。结果:参与者平均年龄为30.5±8岁。所有女性均有至少4年的不孕病史。女性表现为盆腔腹痛(30-35%)和月经紊乱(20-25%)。本文回顾了20例女性生殖器结核的不同表现。结论:输卵管造影对不孕患者诊断生殖器结核具有重要价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Journal of Reproductive Medicine 医学-妇产科学

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审稿时长

6-12 weeks