Tubal Geçi̇rgenli̇k Değerlendi̇ri̇lmesi̇nde Hi̇sterosalpi̇ngografi̇ mi̇? Laparoskopi̇ mi̇?: İnferti̇l Olguların Retrospektif Analizi

Amaç: Histerosalpingografi (HSG), infertil kadınlarda tuba uterinaların yapısını, açıklığını ve uterus anomalilerini değerlendirmede en sık kullanılan tetkiktir. İnfertil kadınlarda tubaların yapısı ve açıklığının tanısı HSG ve laparoskopi (L/S) ile konmaktadır. L/S günümüzde infertilitenin tubal nedenlerinin tanımlanmasında en güvenilir yoldur. Çalışmamızda tubal geçirgenliğin değerlendirilmesinde HSG ve L/S’nin tanı koymadaki yerini göstermeyi amaçladık. Gereçler ve Yöntem: Çalışmaya 1 Ağustos 2015 ile 1 Nisan 2017 tarihleri arasında hastanemizin kadın doğum polikliniklerine infertilite nedeni ile başvuran HSG’de bilateral tubal geçirgenlik saptanmayan 64 hasta dahil edildi. Bilateral tubal tıkanıklık ön tanısı ile L/S uygulanan hastalarda tubal serbest metilen mavisi geçişi değerlendirildi. Bulgular: HSG sonucunda bilateral tubal geçirgenlik olmayan 64 infertil hastaya yapılan L/S sonucunda 22 (%34,38) hastanın her iki tüpünün açık olduğu, 26 (%40,63) hastanın her iki tüpünün kapalı olduğu, 16 (%25)hastanın bir tüpünün açık olduğu izlendi. 64 hastadan 26’sının HSG ve L/S bulguları korele idi. Sonuç: HSG, kadın infertilitesinin araştırılmasında kullanılan ilk basamak tanı yöntemidir. HSG sonucunda bilateral tubal tıkanıklık izlenen hastalarda kesin tanı için ikinci basamak olarak tanısal L/S yapılmalıdır.

Hysterosalpingography or Laparoscopy in the Diagnosis of Tubal Permeability? : Retrospective Analysis of Infertile Cases

Objective: Hysterosalpingography (HSG) is the most commonly used test in the investigation of the structure and patency of the tube uterine and uterine anomalies in infertile women. The structure and patency of tuba in infertile women is diagnosed by HSG and laparoscopy (L / S). L / S is currently the most reliable way to identify tubal causes of infertility. In this study, we aimed to show the role of HSG and L / S in the diagnosis of tubal permeability. Material and Methods: Between August 1, 2015 and April 1, 2017, 64 patients who admitted to the obstetrics and gynecology outpatient clinics of our hospital with the request of a child who had no bilateral tubal permeability were included in the study. Free methylene blue passage to both tubes was evaluated in patients who underwent L / S for tubal permeability indication. Results: L / S was performed on 64 infertile patients without bilateral tubal permeability at HSG. Both tubes were open in 22 (%34,38) patients, both tubes were closed in 26 (%40,63) patients and one tube was open in 16 (%25) patients. Of the 64 patients, 26 had correlated HSG and L / S findings. Conclusion: Conclusion:HSG is the first line diagnostic method used in the investigation of female infertility. L / S is the gold standard method for the detection and treatment of tubal factor. If bilateral obstruction is observed as a result of HSG, diagnostic L / S should be performed.

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