An analysis of 762 cases of hysterosalpingography using oily contrast media

Kim, C W

Abstract

Seven hundreds and sixty of patients undergoing hysterosalpingography with oily contrast media were analyzed.The results were as follows: 1. In this series, 108 cases of normal, 625 cases of tubal occlusion, 6 cases ofhydrosalpinx, 14 cases of chronic salpingitis, 22 cases of hypoplastic uterus, 18 cases of congenital anomalies,11 cases of intrauterine filling defect, 4 cases of intravasation of contrast media, 7 cases of calcified pelviclymphnodes, and 21 cases of questionable occlusion were observed. 2. In the cases which reveal occluded salpinx,bilateral involvements were 92.16% of all cases and the remained were unilaterally involved. In 51.9% of cases,the fimbriae of salpinx was the site of involvement. The isthmic lesions were 41.2% and the ampulla were involvedin 5.8% of cases. Occlusion of undetermined site were 1.1% of all cases. 3. no significant complication wasobserved. In 4 cases, intravasation of contrast material was occurred but clinical sign was not remarkable in allpatients. 4. The supportor designed by author was used in all cases. With this handy device, the physician canoperate the procedure without wearing lead impregnated apron and can avoid to exposure to irradiation. 5. In 4cases, pregnancy shortly after the examination were confirmed.