Gabos P
Fertil Steril. 1976 Mar;27(3):238-42. doi: 10.1016/s0015-0282(16)41711-5.
A comparison of hysterosalpingography (HSG) with endoscopy in the evaluation of tubal function in 117 infertile women is presented. Results were in accord in 55% of the patients. Correction for endoscopic error and the limitations of HSG increased the positive correlation to 74%. Twenty-three patients (20%) with abnormal findings at HSG were normal with endoscopy. Ten patients (8%) had normal HSG but abnormal endoscopic findings. Fifteen patients (12%) with positive findings by HSG had different positive findings at endoscopy. Additional endoscopic findings in 47 patients are listed. Review of 26 patients with endoscopy-confirmed endometriosis revealed that 14 (54%) had a normal HSG and normal history and pelvic examination. Although HSG should be the method of choice as part of the basic evaluation, an infertile woman should undergo endoscopy before the evaluation is considered complete or final.
本文介绍了对117名不孕女性进行子宫输卵管造影（HSG）与内窥镜检查以评估输卵管功能的比较。55%的患者结果一致。校正内窥镜检查误差和HSG的局限性后，正相关率提高到74%。23名（20%）HSG检查结果异常的患者经内窥镜检查正常。10名（8%）患者HSG检查正常但内窥镜检查结果异常。15名（12%）HSG检查呈阳性的患者在内窥镜检查时有不同的阳性结果。列出了47名患者的其他内窥镜检查结果。对26名经内窥镜检查确诊为子宫内膜异位症的患者进行回顾发现，14名（54%）患者HSG检查正常，病史和盆腔检查也正常。尽管HSG作为基本评估的一部分应是首选方法，但在评估被认为完整或最终完成之前，不孕女性应接受内窥镜检查。
