Apport de lâhysteroscanner dans le bilan dâinfertilit© f©minine a Abidjan Contribution of the multidetector CT virtual hysterosalpingography in the female infertility workup in Abidjan.

Résumé

RESUMEE

OBJECTIF

 Pr©ciser lâapport de lâhyst©rosalpingographie virtuelle scanographique dans lâ©valuation de lâut©rus et des trompes dans le bilan  dâinfertilit©

MATRIEL ET MTHODES

 Etude prospective sur 10 mois portant sur 102 patientes  dans le cadre dâun bilan d'infertilit© chez qui des hyst©roscanners ont ©t© r©alis©s sur un scanner 16 barrettes. Un  volume moyen  de 10 ml de contraste iod© (Ioxitalamate de meglumine teneur en iode 25 %) dilu© au 1/5 a ©t© inject© dans la cavit© ut©rine. Cinq types de post-reconstruction ont ©t© r©alis©s.

RSULTATS

La moyenne dâ¢ge ©tait de 33ans. Le bilan de fertilit© ©tait lâindication la plus fr©quente dans 88,3 %.  37 % des patientes venues pour bilan de fertilit© ont pr©sent© une dur©e dâinfertilit© variant entre 2 et 5 ans. Les pathologies ut©rines pr©dominaient avec les dystrophies (fibrome, polype, hypertrophie endom©triale) repr©sentant 47,8 %. Lâobstruction tubaire unilat©rale ou bilat©rale a ©t© retrouv©e dans 55 % des cas.

 CONCLUSION

Lâhyst©roscanner est un examen  rapide   r©aliser permettant dâ©valuer la perm©abilit© tubaire et une analyse plus sp©cifique la cavit© ut©rine. Il offre la possibilit© de r©aliser une endoscopie ut©rine virtuelle de qualit© utile au clinicien.

 

ABSTRACT

OBJECTIVE:

Clarifying the contribution of multidetector CT virtual hysterosalpingography in the evaluation of the uterus and fallopian tubes in the infertility workup.

MATERIAL AND METHODS:

Prospective study over 10 months on 102 patients in the perspective of an infertility workup in whom a 16-Row multidetector CT virtual hysterosalpingography was performed. An average volume of 10 ml of 1/5 diluted iodine (Ioxitalamate meglumine iodine 25%) was injected into the uterine cavity. Five various postprocessing algorithms were performed. 

RESULTS:

The average age was 33 years. The fertility workup was the most common indication in 88.3%. 37% of patients came for the fertility workup showed a duration of infertility raging from 2 to 5 years. Uterine pathologies prevailed with dystrophies (fibroids, polyps, endometrial hypertrophy) representing 47.8%. Unilateral or bilateral tubal obstruction was found in 55% of cases.

CONCLUSION:

The multidetector CT virtual hysterosalpingography is  quick to perform method which allows the evaluation of tubal permeability, and a more specific analysis of the uterine cavity. It offers the opportunity to take a quality virtual uterine endoscopy useful to the clinician.