EBRU ÇÖĞENDEZ, Suna SOĞUKTAŞ, Kemal ALTINKAŞ, Akif ALKAN, Sadiye EREN

İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı

Amaç: Temel infertilite araştırmasında diagnostik histeroskopininyerini inceledik. Materyel ve Metod: Uterin kavitenin değerlendirilmesi amacıyla hastanemiz Yardımcı Üreme Teknikleri Ünitesi ve infertilite polikliniğinden endoskopik cerrahi kliniğimize refere edilen 53 primer infertil ve 28 sekonder infertil hasta retrospektif olarak değerlendirildi. Primer infertil grupta 23 hastaya infertilite araştırmasının bir parçası olarak, 30 hastaya anormal histerosalpingografi bulgusu endikasyonu ile; sekonder infertil grupta ise hastaların tümüne anormal histerosalpingografi bulgusu endikasyonu ile tanısal histeroskopi yapıldı. Endometrialpolip, submuköz myom ve intrauterin adhezyonlar edinsel anomali, mülleryen anomaliler konjenital anomali olarak kabul edildi. Bulgular: 81 hastanın tümüne diagnostik histeroskopi yapıldı. Primer infertil grupta 29 (%54.7) hastada anormal histeroskopi bulgusuna rastlanırken, sekonderinfertilgrupta 16 (%57.1) hastada anormal histeroskopi bulgusu saptandı. Primer ve sekonder infertil hasta grupları arasında anormal histeroskopi bulgusu açısından istatistiksel olarak anlamlı farklılık saptanmadı (p>0.05). Primer infertil grupta intrauterin patolojilerin dağılımı 11 endometrial polip, 3 submuköz myom, 4 intrauterin adhezyon, 5 uterin septum, 1 didelfis uteri, 1 bicornuat uterus, 1 unicornuat uterus, 2 arcuat uterus ve 1 rudimenter horn + vajinal septum olup; sekonder infertil grupta bu bulguların dağılımı 8 endometrial polip, 2 intrauterin adhezyon, 3 uterin septum, 2 bikornuat uterus, 1 arkuat uterus şeklindeydi. Sonuç: İnfertil hastalarda rutin diagnostik histeroskopi infertilite araştırmasının birparçası olmalıdır.

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Routine use of diagnostiv hysteroscopy in infertile patients

Routine use of diagnostic hysteroscopy in infertile patients Objective: We examined the place of hysteroscopy in investigation ofbasic infertility. Material and Methods: To invastigate the uterine cavity, 53 primary infertile and 28 secondary infertile patients were evaluated by Endoscopic Surgery Clinic, which were referred from Assisted Reproductive Technics Unit and infertility polyclinic. We planned diagnostic hysteroscopy to 30 of 53 primary infertile patients because of abnormal hysterosalpingography findings, to 23 of 53 primary infertile patients as a part of infertility investigation and to all secondary infertile patients because of abnormal hysterosalpingography findings. Endometrial polyp, submucous myoma and intrauterine adhesions were inserted in acquired pathologies, mullerian abnormalities were inserted in congenital pathologies. Results: Diagnostic hysteroscopy was applied to 81 infertile patients. We met abnormal hysteroscopic findings in 29 (%54.7) primary infertile patients and in 16 (%57.1) secondary infertile patients. There was no determined statistically significant difference between primary and secondary infertile groups for abnormal hysteroscopy finding(p>0.05). The rate of abnormalities in primary infertile group were 11 endometrialpolyp, 3 submucous myoma, 4 intrauterine adhesions, 5 septate uterus,1 uterus didelphys, 1 bicornuate uterus, 1 unicornuate uterus, 2 arcuate uterus and 1 rudimenter horn-septate vagina. In secondary infertile group 8 endometrial polyp, 2 intrauterine adhesion, 3 septate uterus, 2 bicornuate uterus and 1 arcuate uterus were detected. Conclusion: Routine diagnostic hysteroscopy should bepart ofan infertility workup in infertile patients.

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