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TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ

Yıl 2020, , 93 - 95, 15.06.2020
https://doi.org/10.16948/zktipb.694701

Öz

TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ

ÖZET
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.
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.
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: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.


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.

Kaynakça

  • KAYNAKLAR
  • 1. Balasch J. Investigation of the infertile couple: investigation of the infertile couple in the era of assisted reproductive technology: a time for reappraisal Hum Reprod 2000; 15: 2251-2257.
  • 2. Speroff L, Glass RH, Kase NG. Female Infertility. Speroff L, Glass RH, Kase NG. Clinical Gynecologic Endocrinology And Infertility Copyright Lippincott Williams & Wilkins, 1999; 1014.
  • 3. Mol BW, Collins JA, Burrows EA, van der Veen F, Bossuyt PM. Comparison of hysterosalpingography and laparoscopy in predicting fertility outcome. Hum Reprod 1999; 14: 1237-1242.
  • 4. Lavy Y, Lev-Sagie A, Holtzer H, Revel A, Hurwitz A. Should laparoscopy be a mandatory component of the infertility evaluation in infertile women with normal hysterosalpingogram or suspected unilateral distal tubal pathology? Eur J Obstet Gynecol Reprod Biol 2004; 114: 64-68.
  • 5. Duraker, Rafet & demir, Berfu & Dilbaz, Berna & Akkurt, Mehmet & Kocak, Muberra & Tasci, Yasemin & Goktolga, Umit. (2011). Comparisons of Hysterosalpingography and Laparoscopy Results in the Diagnosis of Tubal Occlusion. Journal of Turkish Society of Obstetric and Gynecology. 8. 40-43. 10.5505/tjod.2011.89266.
  • 6. Öndeş BO, Dilbaz B, Koçak M, Demir B, Haberal A. The use of chlamydial serology to improve the diagnostıc value of hysterosalpingography in the evaluation of tubal patency Turkiye Klinikleri J Gynecol Obst 1999;9(3):193-8
  • 7. Tshabu-Aguemon C, Ogoudjobi M, Obossou A, King V, Takpara I, Alihonou E. Hysterosalpıngography and laparoscopy ın evaluatıng fallopıan tubes ın the management of ınfertılıty ın Cotonou, Benın Republıc. J West Afr Coll Surg. 2014 Apr-Jun;4(2):66-75.
  • 8. Broeze KA, Opmeer BC, Van Geloven N, Coppus SF, Collins JA, Den Hartog JE, et al. Are patient characteristics associated with the accuracy of hysterosalpingography in diagnosing tubal pathology? An individual patient data meta-analysis. Hum Reprod Update. 2011;17:293–300.
  • 9. Okafor CO, Okafor CI, Okpala OC, Umeh E. The pattern of hysterosalpingoraphic findings in women being investigated for infertility in Nnewi, Nigeria. Niger J Clin Pract. 2010;13:264–7.
  • 10. Corson SL, Cheng A, Gutmann JN. Laparoscopy in the "normal" infertile patient: a question revisited. J Am Assoc Gynecol Laparosc 2000; 7: 317-324.
  • 11. Berker B, Şükür YE, Aytaç R, Atabekoğlu CS, Sönmezer M, Özmen B. Infertility work-up: To what degree does laparoscopy change the management strategy based on hysterosalpingography findings? J. Obstet. Gynaecol. Res. Vol. 41, No. 11: 1785–1790, November 2015 doi:10.1111/jog.12803
  • 12.Goynumer G, Yetim G, Gokcen O, Karaaslan I, Wetherilt L, Durukan B . Hysterosalpingography, Laparoscopy or Both in the Diagnosis of Tubal Disease in Infertility. World Journal of Laparoscopic Surgery.1(2): 23-26.May 2008. DOI: 10.5005/jp-journals-10007-1054

HYSTEROSALPINGOGRAPHY OR LAPAROSCOPY IN THE DIAGNOSIS OF TUBAL PERMEABILITY? : RETROSPECTIVE ANALYSIS OF INFERTILE CASES

Yıl 2020, , 93 - 95, 15.06.2020
https://doi.org/10.16948/zktipb.694701

Öz

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.
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: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.

Kaynakça

  • KAYNAKLAR
  • 1. Balasch J. Investigation of the infertile couple: investigation of the infertile couple in the era of assisted reproductive technology: a time for reappraisal Hum Reprod 2000; 15: 2251-2257.
  • 2. Speroff L, Glass RH, Kase NG. Female Infertility. Speroff L, Glass RH, Kase NG. Clinical Gynecologic Endocrinology And Infertility Copyright Lippincott Williams & Wilkins, 1999; 1014.
  • 3. Mol BW, Collins JA, Burrows EA, van der Veen F, Bossuyt PM. Comparison of hysterosalpingography and laparoscopy in predicting fertility outcome. Hum Reprod 1999; 14: 1237-1242.
  • 4. Lavy Y, Lev-Sagie A, Holtzer H, Revel A, Hurwitz A. Should laparoscopy be a mandatory component of the infertility evaluation in infertile women with normal hysterosalpingogram or suspected unilateral distal tubal pathology? Eur J Obstet Gynecol Reprod Biol 2004; 114: 64-68.
  • 5. Duraker, Rafet & demir, Berfu & Dilbaz, Berna & Akkurt, Mehmet & Kocak, Muberra & Tasci, Yasemin & Goktolga, Umit. (2011). Comparisons of Hysterosalpingography and Laparoscopy Results in the Diagnosis of Tubal Occlusion. Journal of Turkish Society of Obstetric and Gynecology. 8. 40-43. 10.5505/tjod.2011.89266.
  • 6. Öndeş BO, Dilbaz B, Koçak M, Demir B, Haberal A. The use of chlamydial serology to improve the diagnostıc value of hysterosalpingography in the evaluation of tubal patency Turkiye Klinikleri J Gynecol Obst 1999;9(3):193-8
  • 7. Tshabu-Aguemon C, Ogoudjobi M, Obossou A, King V, Takpara I, Alihonou E. Hysterosalpıngography and laparoscopy ın evaluatıng fallopıan tubes ın the management of ınfertılıty ın Cotonou, Benın Republıc. J West Afr Coll Surg. 2014 Apr-Jun;4(2):66-75.
  • 8. Broeze KA, Opmeer BC, Van Geloven N, Coppus SF, Collins JA, Den Hartog JE, et al. Are patient characteristics associated with the accuracy of hysterosalpingography in diagnosing tubal pathology? An individual patient data meta-analysis. Hum Reprod Update. 2011;17:293–300.
  • 9. Okafor CO, Okafor CI, Okpala OC, Umeh E. The pattern of hysterosalpingoraphic findings in women being investigated for infertility in Nnewi, Nigeria. Niger J Clin Pract. 2010;13:264–7.
  • 10. Corson SL, Cheng A, Gutmann JN. Laparoscopy in the "normal" infertile patient: a question revisited. J Am Assoc Gynecol Laparosc 2000; 7: 317-324.
  • 11. Berker B, Şükür YE, Aytaç R, Atabekoğlu CS, Sönmezer M, Özmen B. Infertility work-up: To what degree does laparoscopy change the management strategy based on hysterosalpingography findings? J. Obstet. Gynaecol. Res. Vol. 41, No. 11: 1785–1790, November 2015 doi:10.1111/jog.12803
  • 12.Goynumer G, Yetim G, Gokcen O, Karaaslan I, Wetherilt L, Durukan B . Hysterosalpingography, Laparoscopy or Both in the Diagnosis of Tubal Disease in Infertility. World Journal of Laparoscopic Surgery.1(2): 23-26.May 2008. DOI: 10.5005/jp-journals-10007-1054
Toplam 13 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Orjinal Araştırma
Yazarlar

Dilşad Herkiloğlu

Şefik Gökçe Bu kişi benim 0000-0003-0939-4539

Yayımlanma Tarihi 15 Haziran 2020
Yayımlandığı Sayı Yıl 2020

Kaynak Göster

APA Herkiloğlu, D., & Gökçe, Ş. (2020). TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ. Zeynep Kamil Tıp Bülteni, 51(2), 93-95. https://doi.org/10.16948/zktipb.694701
AMA Herkiloğlu D, Gökçe Ş. TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ. Zeynep Kamil Tıp Bülteni. Haziran 2020;51(2):93-95. doi:10.16948/zktipb.694701
Chicago Herkiloğlu, Dilşad, ve Şefik Gökçe. “TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ”. Zeynep Kamil Tıp Bülteni 51, sy. 2 (Haziran 2020): 93-95. https://doi.org/10.16948/zktipb.694701.
EndNote Herkiloğlu D, Gökçe Ş (01 Haziran 2020) TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ. Zeynep Kamil Tıp Bülteni 51 2 93–95.
IEEE D. Herkiloğlu ve Ş. Gökçe, “TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ”, Zeynep Kamil Tıp Bülteni, c. 51, sy. 2, ss. 93–95, 2020, doi: 10.16948/zktipb.694701.
ISNAD Herkiloğlu, Dilşad - Gökçe, Şefik. “TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ”. Zeynep Kamil Tıp Bülteni 51/2 (Haziran 2020), 93-95. https://doi.org/10.16948/zktipb.694701.
JAMA Herkiloğlu D, Gökçe Ş. TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ. Zeynep Kamil Tıp Bülteni. 2020;51:93–95.
MLA Herkiloğlu, Dilşad ve Şefik Gökçe. “TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ”. Zeynep Kamil Tıp Bülteni, c. 51, sy. 2, 2020, ss. 93-95, doi:10.16948/zktipb.694701.
Vancouver Herkiloğlu D, Gökçe Ş. TUBAL GEÇİRGENLİK DEĞERLENDİRİLMESİNDE HİSTEROSALPİNGOGRAFİ Mİ? LAPAROSKOPİ Mİ? : İNFERTİL OLGULARIN RETROSPEKTİF ANALİZİ. Zeynep Kamil Tıp Bülteni. 2020;51(2):93-5.