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KMID : 0358419740170060369
Korean Journal of Obstetrics and Gynecology
1974 Volume.17 No. 6 p.369 ~ p.377
Clinical Study of Hysterosalpingography in Korean Infetile Woman
°ûÇö¸ð/Kwak HM
±è¼ºµµ/ÀÌ¿µÈ£/¿À±â¼®/Kim SD/Lee HY/Oh KS
Abstract
Hysterosalpingography has been universally accepted and approved method as a valuable aid in the diagnosis and treatment of infertility and tubal pathology, especially for tubal patency. A clinical analysis has been made on 200 cases of known infertile patients by the view of hysterosalpingogrm. The results were as follows : 1) In 200 cases of infertility, 121 cases were primary and remaining 79 cases were secondary infertility. 2) Age distribution showed the peak at 25-29 year old group in primary infertility and at 30-34 year old group in secondary infertility, cases of which were 58(47.9%) and 31(39.3%) respectively. 3) 60 cases of this study shows 7-9 years of duration infertility and it was longer in secondary than primary infertility. 4) In past history, pelvic inflammatory diseases were found in 22 cases (11.0%), diagnostic D & C in 25 cases (12.5%) of secondary infertility. 5) Uterine shadow revealed 125 cases of normal finding and 30 cases of irregular uterine cavity shadow, which was 15.0% and predominant abnormal finding. 6) Tubal pathology was predominent lesion in hysterosalpingogrm and bilateral occlusion was noted in 104 cases(52.0%) and unilateraltubal occlusion was 32 cases(16.0%).Tthere was no significant difference between right and left side. 7) In shape of tubes, hysterosalpinx of ampuaalr and fimbrial portion was predominant to the exclusion of patent tubes and cornual obstruction. 8) Sites of tubal occlusion were cornual in 30 cases, isthmic in 32 cases and ampullar and fimbrial portion in 71 cases. 9) Intravasation, one of complications of HSG was noted in pelvic cavity of 27 cases among 200 cases, which was 13.5%. 10) Abdominal despersion of radiopaque material appeared in 96 cases(48.0%) of this study and most common appearance was homogeneous hazzy cloudy shape. 11) Normal hysterosalpingogrm was noted in 42 cases(21.0%) and 116 cases(58.0%) was abnormal in one or more among uterine, tubal, and intraabdominal shadow.
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