Korelacija histerosalpingografije i laparoskopije u detekciji tubarnog faktora infertiliteta

  • Miroslav Popović Univerzitet u Banjoj Luci, Medicinski fakultet, Univerzitetski Klinički centar, Klinika za Ginekologiju i akušerstvo.
  • Cvijetin Lazikić UKC RS
  • Zvjezdana Ritan Mičić UKC RS
  • Milica Pajić JZU Bolnica Bijeljina

Sažetak


Background/Aim: Around 15-20 % of couples worldwide struggle with infertility, a difficult and aggravating gynaecological issue. Conception occurs in both partners, male and female, as they are both responsible for conception. This study aimed to evaluate the diagnostic accuracy of hysterosalpingography (HSG) in the detection of tubal infertility factors, by comparing the findings of HSG with the findings of laparoscopy (LPSC).

Methods: A retrospective study from 1st January 2018, to 31st December 2019, is presented. Infertile patients who underwent LPSC, HSG and ultrasound to evaluate sterility during this timeframe were included in the research.

Results: The study involved 63 infertile patients with a mean lifespan of 33.3 ± 4.7 years. The conclusions of LPSC and HSG, in general, were in good correlation and the percentage of agreement among the diagnostic procedures was 77.8 %. In the case of dichotomous categories, there is a good alignment between LPSC and HSG results with a percentage of 85.7 %. Hydrosalpinx: The findings of LPSC and HSG are quite similar. The percentage of agreement among the diagnostic techniques used was 79.2 %. Canal obturation: LPSC and HSG results are in good correlation with a percentage of 78.6 %. Terminal obturation: LPSC and HSG results are also in good agreement with the calculated percentage of 82.1 %.

Conclusion: In determining tubal sterility factors, there is considerable consistency between LPSC and HSG results (κ = 0.68; 95 % CI 0.54-0.83). There is a good correlation between LPSC and HSG findings of dichotomous categories (χ2 = 0.63; 95 % CI: 0.41-0.86). 86.2 % of subjects with peritubular appendages and 8.8 % of subjects without peritubular appendages had hydrosalpinx, which is a statistically significant difference (χ2 = 37.957; p < 0.001). Between LPSC and HSG data, there is a good agreement in the diagnosis of hydrosalpinx (κ = 0.64; 95 % CI: 0.38-0.91).

Biografija autora

Miroslav Popović, Univerzitet u Banjoj Luci, Medicinski fakultet, Univerzitetski Klinički centar, Klinika za Ginekologiju i akušerstvo.

Osnovni biografski podaci

Ime i prezime: Miroslav D. Popović

Datum i mjesto rođenja: 07. 2. 1974 .godine u Banjaluci, BiH

Ustanova gdje je zaposlen: Klinika za ginekologiju i akušerstvo KC Banja Luka   od 2010. god , ljekar specijalista, subspecijalista.

Naučna oblast: Ginekologija i akušerstvo

Stručna biografija, diplome i zvanja

Medicinski fakultet Banjaluka: 1993-1999.  godine

Specijalistički ispit: Ginekologija i akušerstvo: 2004.godine.  Medicinski fakultet Banja Luka

Postdiplomski studij “Biomedicinska istraživanja“Medicinski fakultet Banjaluka 2007. Godine, prosječna ocjena  9,5

Magistarski rad: Medicinski fakultet Univerziteta u Banjaluci 2012.godine, mentor: Prof. dr Vesna Ećim-Zlojutro, Naslov magistarskog rada: “UTICAJ INTRAUTERINOG ZASTOJA U RASTU PLODA NA ISHOD TRUDNOĆE “

Subspecijalizacija: ONKOLOGIJA Medicinski fakultet Beograd , 2012-2013.  godine , Subpecijalistički ispit: Ocjena 9,  2013. godine.

Subpecijalistički rad Medicinski fakultet Beograd , 2013 g, mentor:  Prof. dr Vladimir Pažin,   Naslov subspecijalističkog  rada: “KORELACIJA PREOPERATIVNOG  I  POSTOPERATIVNOG  PATOHISTOLOŠKOG NALAZA  KOD  BOLESNICA  SA KARCINOMOM ENDOMETRIJA”

Naučni i Stručni rad:

Do sad publikovao  20 stručnih radova i  dvije  knjige. Uveo u ginekološku  praksu na KGA Banja Luka endoskopsko liječenje ginekoloških maligniteta, a 9.3.2016. god uradio prvu laparaskopsku radikalnu histerektomiju.

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2022/09/30
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