The Fitz Hugh-Curtis Syndrome and Hydrosalpinx: Analysis of Findings in Gynecologic Laparoscopy Procedure of Infertile Women

摘要

Method: the study was conducted to analyze the correlation between Fitz Hugh-Curtis syndrome (FHCS) with the occurrence of hydrosalpinx, and the risk for hydrosalpinx occurrence due to FHCS. This observational retrospective study was conducted by reviewing the medical records of 315 infertile women who underwent gynecologic laparoscopy procedure from 2011 to 2016. FHCS was characterized by the presence of perihepatic adhesion between Glisson’s capsule and anterior peritoneum, forming “violin string” appearance, and categorized as a mild, moderate, and severe form. The comparison of the degree of FHC S and hydrosalpinx occurrence was analyzed using χ 2) test. The odds ratio was calculated to analyze the risk for hydrosalpinx occurrence in the presence of FHCS. The p-value < 0.05 was considered significant. Of 315 subjects, FHCS was found in 108 subjects (34.3%), while hydrosalpinxwas found in 107 subjects (34%). Sixty-eight subjects (63%) have a severe degree of FHCS. In subjects with FHCS, 64.5% had hydrosalpinx. There was a significant difference in the perihepatic adhesion degree and the occurrence of hydrosalpinx ( χ 2) = 7.55; p = 0.02). There was a significant difference in hydrosalpinx occurrence between FHCS-positive and-negative group ( χ 2) = 65.60, p < 0.05). The risk of hydrosalpinx occurrence was higher in the presence of FHCS compared with those without FHCS (OR 7.87; 95% CI 4.64-13.33, p < 0.05). Conclusion: the risk for hydrosalpinx was elevated in FHCS.