Servy E J, Tzingounis V A
South Med J. 1978 Dec;71(12):1511-2. doi: 10.1097/00007611-197812000-00019.
Laparoscopy was done about three months after hysterosalpingography (HSG) in 121 patients complaining of infertility. Normal patency was found with both technics in 71 patients (58.6%). In 23 of the 97 patients with a normal HSG, however, peritubal or tubal disease was observed at the time of laparoscopy (false-negative results, 19%). Twenty-four tubal obstructions (19.8%) were detected by HSG (16 distal and eight proximal) but five distal and four proximal obstructions were not confirmed by laparoscopy (false-positive results, 7.4%). In addition, laparoscopic evaluation demonstrated endometriosis in 31 cases, polycystic ovaries in six, and uterine fibroids in five.
对121例主诉不孕的患者在子宫输卵管造影（HSG）后约三个月进行了腹腔镜检查。71例患者（58.6%）两种检查技术均显示通畅正常。然而，在HSG检查正常的97例患者中，有23例在腹腔镜检查时发现输卵管周围或输卵管疾病（假阴性结果，19%）。HSG检测出24例输卵管阻塞（19.8%）（16例远端阻塞和8例近端阻塞），但腹腔镜检查未证实其中5例远端阻塞和4例近端阻塞（假阳性结果，7.4%）。此外，腹腔镜评估显示31例有子宫内膜异位症，6例有多囊卵巢，5例有子宫肌瘤。
