Correlación histerosalpingográfica - laparoscópica en el diagnóstico de permeabilidad tubárica en mujeres infértiles, Hospital Enrique C. Sotomayor, período 2013 - 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La infertilidad se define como la imposibilidad para concebir tras un año de relaciones sexuales frecuentes sin el uso de un método anticonceptivo. Se ha convertido en un problema cada más común entre las parejas en edad reproductiva, siendo más frecuente la infertilidad de origen femenino en un 50 a 60% de los casos. Entre las causas femeninas destaca el factor tuboperitoneal, encabezado por la enfermedad inflamatoria pélvica. Existen varias técnicas para el estudio de este factor entre los cuales se encuentra la histerosalpingografía (HSG) y la laparoscopía, cada una de ellas con resultados distintos pero válidos en el diagnóstico de permeabilidad tubárica en las pacientes infértiles. Se realizó un estudio de tipo descriptivo y correlacional, de diseño no experimental, y retrospectivo que incluyó a las pacientes atendidas por el Servicio de Infertilidad a quienes se les realizó histerosalpingografía y laparoscopía en el Hospital Gineco-Obstétrico Enrique C. Sotomayor en el período 2013 – 2015. El propósito del estudio fue realizar una correlación entre los hallazgos de ambos procedimientos en el diagnóstico de permeabilidad tubárica en mujeres infértiles. Se concluyó que la histerosalpingografía y la laparoscopía tuvieron resultados similares en el diagnóstico de permeabilidad tubárica, con una sensibilidad del 85.5% y una especificidad del 76.5%. De este modo, se logró identificar la causa de la infertilidad y se podrá proporcionar un mejor tratamiento para la resolución de la misma.
Infertility is defined as the impossibility to conceive after a year of having frequent sexual relationships without the use of contraceptives. It has become a common problem among couples in reproductive age, being more frequent the female infertility in 50 to 60% of cases. It is possible to describe female causes such as tuboperitoneal factor which is headed by the pelvic inflammatory disease. There are some techniques to study this factor that can be hysterosalpingography and laparoscopy, each of them with different results but valid for the diagnosis of tubal patency in infertile women. It was a descriptive and correlational study, with no experimental, retrospective design that included all the patients treated by Infertility Service of “Hospital Enrique C. Sotomayor” during 2013 – 2015. The purpose of this study was to make a correlation among findings of these two procedures in the diagnosis of tubal patency in infertile women. It was possible to conclude that both procedures had very similar results in the diagnosis of tubal patency, with a sensibility of 85.5% and specificity of 76.5%. With all this, the cause of infertility was identified and patients will receive a better treatment to solve it.
Infertility is defined as the impossibility to conceive after a year of having frequent sexual relationships without the use of contraceptives. It has become a common problem among couples in reproductive age, being more frequent the female infertility in 50 to 60% of cases. It is possible to describe female causes such as tuboperitoneal factor which is headed by the pelvic inflammatory disease. There are some techniques to study this factor that can be hysterosalpingography and laparoscopy, each of them with different results but valid for the diagnosis of tubal patency in infertile women. It was a descriptive and correlational study, with no experimental, retrospective design that included all the patients treated by Infertility Service of “Hospital Enrique C. Sotomayor” during 2013 – 2015. The purpose of this study was to make a correlation among findings of these two procedures in the diagnosis of tubal patency in infertile women. It was possible to conclude that both procedures had very similar results in the diagnosis of tubal patency, with a sensibility of 85.5% and specificity of 76.5%. With all this, the cause of infertility was identified and patients will receive a better treatment to solve it.
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Infertilidad, Histerosalpingografía, Laparoscopía, Permeabilidad tubárica, Epidemiología descriptiva, Estudios retrospectivos, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Mujeres