Abnormal Hysterosalpingographic Findings in Infertile Women

Kwanruetai Nampakdianan, C. Kietpeerakool, Yaowapa Chongpensuklert
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引用次数: 2

Abstract

Objective: to determine the rate and patterns of hysterosalpingography (HSG) abnormality among infertile women at Srinagarind Hospital, Khon Kean University, Thailand. Materials and methods: The study patients were identified through the reports of the Infertile Clinic. In our hospital, HSG was routinely performed in all women undergoing an evaluation of infertility problems. Medical records were abstracted for baseline characteristics, types of infertility, and details of HSG findings. A 95% confidence interval (CI) was calculated to demonstrate the precision of data. Logistic regression model was used to determine an independent impact of the type of infertility on abnormal HSG findings. Results: Overall, 589 women were reviewed. The mean ± SD age was 32.9 ± 5.0 years. Secondary infertility was noted in 163 (27.7%) women. Abnormal HSG was noted in 227 (38.5%, 95% CI, 34.6%-42.6%) women. The most common abnormal HSG findings were tubal occlusion and hydrosalpinx. When adjusted with patients’ age, women with secondary infertility carried a higher risk of having abnormal HSG finding compared to those with primary infertility (an adjusted odds ratio, 2.44; 95% CI, 1.68-3.54). Conclusion: Rate of abnormal HSG findings among infertile women in our setting was approximately 40%. Type of infertility was independently associated with abnormal HSG findings.
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不孕妇女子宫输卵管造影异常
目的:了解泰国建安大学斯利那加林医院不孕妇女子宫输卵管造影(HSG)异常的发生率和类型。材料和方法:通过不孕不育诊所的报告确定研究患者。在我们医院,输卵管造影是所有接受不孕问题评估的妇女的常规检查。提取医疗记录的基线特征、不孕症类型和HSG结果的细节。计算95%置信区间(CI)以证明数据的精度。采用Logistic回归模型确定不孕类型对异常HSG结果的独立影响。结果:共纳入589名女性。平均±SD年龄为32.9±5.0岁。163例(27.7%)妇女继发性不孕。227名(38.5%,95% CI, 34.6%-42.6%)女性发现异常HSG。输卵管造影最常见的异常表现是输卵管闭塞和输卵管积水。随着患者年龄的调整,继发性不孕症的女性比原发性不孕症的女性有更高的异常HSG发现的风险(调整后的优势比,2.44;95% ci, 1.68-3.54)。结论:在我们的研究中,不孕症妇女的HSG异常发生率约为40%。不孕症类型与异常HSG结果独立相关。
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来源期刊
Thai Journal of Obstetrics and Gynaecology
Thai Journal of Obstetrics and Gynaecology Medicine-Obstetrics and Gynecology
CiteScore
0.40
自引率
0.00%
发文量
3
审稿时长
24 weeks
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