Mendoza AM, Herrera FI, Viramontes TG, Guerrero AGML

Language: Spanish
References: 12
Page: 201-209
PDF size: 621.32 Kb.

ABSTRACT

Introduction: Hysterosalpingography is defined as the sequent introduction in the uterus, fallopian tubes and abdominal cavity, of an opaque substance (non-ionic iodized compound) with the intervention of a probe, while cervical external orifice is clogged under supervised pressure, indicated for uterine cavity and surroundings, being the first indication, permeability of uterine tubes in patients diagnosed with infertility and in some cases anexial pathology
Objective: To report ultra and attachments pathology incidence observed by hysterosalpingography, pointing out advantages and disadvantages of this method and make a description of findings observed.
Material and methods: A longitudinal, retrospective study was carried out to 288 female patients with ages between 19 and 40 years old, diagnosed with infertility and uterine and or anexial anomalies, from January 2006 to January 2009. Testing was made to all patients between the day 7 to the day 12 of the menstrual cycle, in digital X-Rays room with fluoroscopy and G.E. Prestige II remote control. Taking AP oblique, right side and emptying projections.
Results: Normal aspect endometrial cavities were found in 185 patients. Endometrial cavity with intraluminal filling defects in 103 patients. Regarding fallopian tubes, normal or permeable tubes were found in 142 patients and with tubaric bilateral obstruction in 86 patients, unilateral obstruction in 52 patients. Anatomic variants represented only 8.33%, being two-horn unicolis uterus, being arcuated and septated uterus the most common, anexial masses were observed only in 2.7% of the cases.
Conclusions: Hysterosalpingography is considered still as one of the imaging methods that allows identifying tubaric pathologies, as well as of the endometrial, anexial cavity and alterations of the uterine morphology, with a great impact in the diagnosis of tubaric obstruction, this is the main indication in patients with primary or secondary infertility diagnosis. This is an efficient and low-cost diagnostic imaging method, with the only disadvantage of ionizing radiation use.
It is important that every Radiologist or fertility specialist be familiar with imaging interpretation and findings described for every pathology that can be observed through this imaging method.

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