Hysterosalpingo-Foam Sonography to Replace HSG in Evaluating Tubal Patency in Indonesian Subfertile Patients

• 作者: Eka Rusdianto Gunardi Harry Prawiro Tantry Herbert Situmorang
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: HyFoSy HSG Tubal Patency Subfertile
• 年，卷（期）: 2020,（10）
• 页码范围: 1402-1413
• 页数: 12页
• 分类号: R71

摘要

<strong>Aim:</strong> <span style="font-family:""><span style="font-family:Verdana;">To evaluate whether hysterosalpingo-foam sonography (HyFoSy) can replace HSG as first-line evaluation for tubal patency in subfertile Indonesian patients by evaluating agreement level and comparing patients’ subjective complaints. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">Twenty subfertile female patients at </span><i><span style="font-family:Verdana;">Cipto Mangunkusumo</span></i><span style="font-family:Verdana;"> Central General Referral Hospital (</span><i><span style="font-family:Verdana;">RSCM</span></i><span style="font-family:Verdana;">) from January 2018 to January 2019 were recruited conveniently to undergo both HSG and subsequent two-dimensional transvaginal HyFoSy after a minimum interval of 48 hours. Data on tubal patency and side effects inflicted by each examination within 24 hour</span></span><span style="font-family:Verdana;">s</span><span style="font-family:Verdana;"> w</span><span style="font-family:Verdana;">ere</span><span style="font-family:""><span style="font-family:Verdana;"> collected. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">There were 20 subjects enrolled in this study. In 2 subjects, stenosis of internal uterine ostium was identified on HyFoSy procedure. Out of 36 remaining tubes undergoing adequate tubal patency evaluation by HSG and HyFoSy, agreement was seen in 81% cases (kappa value 0.42). The discordant tubal evaluation results in 7 of 36 tubes w</span></span><span style="font-family:Verdana;">ere</span><span style="font-family:Verdana;"> associated with partial tubal obstruction, presence of co-existing gynaecological pathology, and tubal spasm. Less pain (p < 0.001) was experienced in HyFoSy as compared to HSG, with mean VAS of 1.8</span><span style="font-family:""> </span><span style="font-family:Verdana;">±</span><span style="font-family:""> </span><span style="font-family:V