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子宫输卵管超声造影与X线子宫输卵管造影在输卵管通畅性评估中的比较

Hysterosalpingo-contrast sonography versus radiographic hysterosalpingography in the evaluation of tubal patency.

作者信息

Hamed Hossam O, Shahin Ahmed Y, Elsamman Aly M

机构信息

Department of Obstetrics and Gynecology, Women's Health Centre, Assiut University, Assiut, Egypt.

出版信息

Int J Gynaecol Obstet. 2009 Jun;105(3):215-7. doi: 10.1016/j.ijgo.2009.02.001. Epub 2009 Mar 31.

Abstract

OBJECTIVE

To compare the efficacy of hysterosalpingo-contrast sonography (HyCoSy) using a saline solution with that of radiographic hysterosalpingography (HSG) in the assessment of tubal patency.

METHOD

We compared the findings obtained by the 2 methods with those obtained by standard diagnostic laparoscopy with the chromopertubation test in a study with 88 infertile women younger than 40 years.

RESULTS

The sensitivity, specificity, and diagnostic accuracy of HyCoSy and HSG were similar, and 65 (74%) of the women reported the pain associated with HyCoSy as mild to moderate.

CONCLUSION

The HyCoSy procedure is well tolerated and can be used as a primary tool for the evaluation of tubal patency in infertile women.

摘要

目的

比较在评估输卵管通畅性方面,使用生理盐水的子宫输卵管超声造影(HyCoSy)与放射学子宫输卵管造影(HSG)的疗效。

方法

在一项针对88名年龄小于40岁的不孕女性的研究中,我们将这两种方法所获得的结果与通过标准诊断性腹腔镜检查及美蓝通液试验所获得的结果进行了比较。

结果

HyCoSy和HSG的敏感性、特异性及诊断准确性相似,65名(74%)女性报告与HyCoSy相关的疼痛为轻至中度。

结论

HyCoSy操作耐受性良好,可作为评估不孕女性输卵管通畅性的主要工具。

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