卡诺市阿米努卡诺教学医院子宫输卵管造影与子宫输卵管造影在输卵管通畅性评估中的比较研究。

Ibrahim Danladi Muhammad, Umar Suleiman Sabo, Sa'idu Adamu Ibrahim, Aliyu Dayyabu Labaran, Idris Usman Takai
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引用次数: 0

摘要

背景:输卵管疾病是导致继发性不孕的重要原因,在寻求不孕治疗的夫妇中,有 25%-35% 的人患有输卵管疾病。评估输卵管通畅性的传统方法,如腹腔镜检查和染色检查,都是侵入性的,费用昂贵,而且需要专业的知识。子宫输卵管造影术(HSG)是一种替代方法,但它涉及疼痛和辐射暴露。本研究旨在比较使用生理盐水和空气混合物的子宫输卵管造影(HyCoSy)与 HSG 在评估阿米努-卡诺教学医院不孕症患者输卵管通畅性方面的效果:这项横断面研究涉及 50 名同意接受生育评估的患者。研究人员使用半结构式问卷收集人口统计学信息。在月经周期的第 5 天至第 10 天使用生理盐水和空气混合物进行 HyCoSy,然后在接下来的 5 天内进行 HSG。对每条输卵管的通畅度进行评估,并使用数字评分表记录两种手术过程中的疼痛程度:结果显示,68.8% 的患者双侧输卵管通畅,而 60.4% 的患者输卵管通畅。对单个输卵管的检查结果进行比较后发现,两种检测方法的吻合率为 89.6%,Kappa 指数为 0.73,表明两者的吻合度很高。重要的是,与 HSG(平均 NRS 评分为 7.1 分)相比,患者在 HyCoSy 过程中的疼痛明显减轻(平均 NRS 评分为 4.1 分):本研究表明,在评估输卵管通畅性方面,使用生理盐水和空气混合物的 HyCoSy 与 HSG 具有很高的可比性。值得注意的是,HyCoSy 更受患者青睐,因为它能减轻疼痛、提高耐受性,而且不良反应极小。这表明,在不孕症患者的输卵管评估中,HyCoSy 可能是一种对患者更友好、更具成本效益的替代方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Study Between Hysterosalpingo-Contrast Sonography and Hysterosalpingography in Evaluating Tubal Patency at Aminu Kano Teaching Hospital, Kano.

Background: Tubal diseases contribute significantly to secondary infertility, affecting 25-35% of couples seeking infertility treatment. Traditional methods for assessing tubal patency, such as laparoscopy and dye tests, are invasive, costly, and require specialized expertise. Hysterosalpingography (HSG) is an alternative, but it involves pain and radiation exposure. This study aimed to compare the effectiveness of Hysterosalpingo-contrast Sonography (HyCoSy) using a saline and air mixture to HSG in assessing tubal patency in infertility patients at Aminu Kano Teaching Hospital.

Methodology: A cross-sectional study involved 50 consenting patients seeking fertility evaluation. The researchers used a semi-structured questionnaire to gather demographic information. HyCoSy with the saline and air mixture was performed between the 5th and 10th day of the menstrual cycle, followed by HSG within the next five days. The patency of each fallopian tube was assessed, and pain levels experienced during both procedures were recorded using a numerical rating scale.

Results: The results indicated that 68.8% of patients had bilateral patent tubes according to HyCoSy, while 60.4% were found to have patent tubes with HSG. A comparison of findings for individual tubes showed an 89.6% concordance rate between the two tests, with a Kappa index of 0.73, indicating substantial agreement. Importantly, patients reported significantly less pain during the HyCoSy procedure (mean NRS score of 4.1) compared to HSG (mean NRS score of 7.1).

Conclusion: This study demonstrated that HyCoSy using a saline and air mixture is highly comparable to HSG in assessing tubal patency. Notably, HyCoSy was preferred by patients due to its reduced pain and better tolerance, with minimal adverse effects. This suggests that HyCoSy may be a more patient-friendly and cost-effective alternative for tubal assessment in cases of infertility.

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