난관소통검사와 여성불임 = Infertility and Tubal patency Test

다국어 초록 (Multilingual Abstract)

In female infertility, the most causative factor is that of tubal origin. In present days, many diagnostic methods and tools are used in reserch for infertility, but there is no simple and reliable test for tubal patency. Among them the kymographic uterine insufflation test or Rubin test are simple in uwe but has many discussions in correctness. Through a clinical, statistical survey for female infertility, a comparative study between the hysterosalpingography and laparoscopic chomopertubation is made as followings; 1. Among the total 7679 cases of the outpatients which had examined at Dept. of OB & GY of chonnam National university Hospital for past 2 years, 340 cases (4.4%) were infertile. 2. The rate of primary infertility (57.4%) was larger than that of secondary. The age below 30 in primary and from 30 to 35 in secondary was the most common but the duration of imfertility in both had no significance. 3. The kymographic patency test was performed in half of the patients, but no significance was there between the kymographic patency test and duration of infertility. 4. Among the total 188 patients, complete occlusion was noticed in 65 cases (34.6%), of which primary 43 and secondary 22 were included. 5. the 96% of primary infertility patients had no specific illness in history, but in secondary infertility, 91.3% (73 cases) were related with the last pregnancy and labor. Also a history for spontaneous and artificial abortion was recorded in over the half of the total cases. Tubal occlusion in surgical illness was more higher than other diseases. 6.A comparative study between kymographic tubal patency test and hysterosal pingography showed some disagreement of 37.5% of total cases including the 29% of partial patent and the 40% of complete obstruction detected by the former. 7. A comparative study between kymographic tubal patency test and laparoscopic chromopertubation showed some disagreement 45.2% of total cases including the 25% of patent, the 66.7% of partial patent and the 45.8% of complete obstruction detected by the former.