بررسی یافته های 1260 مورد هیستروسالپنگوگرافی زنان نابارور در تبریز

Background & Objectives: In spite of rapid development and arrival of newer medical imaging modalities such as computed tomography and magnetic resonance imaging, hysterosalpingography (HSG) has a great role among imaging techniques because of its enormous advantages. HSG is the standard screening test for the diagnosis of tubal infertility and can provide useful information about the uterine cavity. The aim of this study was to demonstrate the value of HSG in the evaluation of infertility and to diagnose the tubo-uterine causes of infertility in Tabriz. Methods: In current study, 1260 patients were investigated for infertility by HSG, patients of both primary and secondary infertility were included except those who have history of acute pelvic infection and allergy to contrast media. This study was conducted at Day Medical Imaging Center in Tabriz-IRAN. Results: HSG outlined normal uterus cavity, normal tube bilaterally with peritoneal spill in 1045 patients (82.94%) and 215 cases (17.06%) were detected with abnormalities. Among these patients, 78 cases (36.28%) detected with normal uterine shape and block of one tube, 32 (14.88%) patients shows both tubal blockages with normal uterus. There was bicurnate uterus in one patient (0.47%) with blockage of both tubes.  Conclusion: The most common abnormal finding was normal uterus cavity with block of one or both tubes. Prevention of the pelvic inflammatory diseases, on time diagnosis and treatment of genital infectious, avoiding unnecessary pelvic surgeries, healthcare improvement and increasing the knowledge of society are the important decreasing factors in the women infertility.