在不孕妇女中，与腹腔镜相比，经阴道选择性插管宫腔镜检查评估输卵管通畅性的准确性。
Accuracy of assessment of tubal patency with selective pertubation at office hysteroscopy compared with laparoscopy in infertile women.
机构信息
Department of Obstetrics and Gynaecology, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary.
出版信息
J Minim Invasive Gynecol. 2012 Sep-Oct;19(5):627-30. doi: 10.1016/j.jmig.2012.03.016.
STUDY OBJECTIVE
To estimate the accuracy of the assessment of tubal patency using selective pertubation with office hysteroscopy compared with laparoscopy in infertile women.
METHOD
Selective pertubation with office hysteroscopy was also performed in 35 infertile patients prior to their scheduled laparoscopy and chromohydrotubation as part of infertility evaluation. We compared the findings of the two methods.
RESULTS
Hysteroscopic tubal assessment had a 82.9% accuracy with the laparoscopic dye method taken as reference, with a positive predictive value of 87.5%, and a negative predictive value of 76.7%. No complication or failure occurred.
CONCLUSION
Selective pertubation with office hysteroscopy is a useful method for the assessment of tubal patency. As a minimal invasive office procedure it can be offered as a first line method for the evaluation of the uterine cavity and the tubes in infertile women.
研究目的
评估在不孕妇女中，与腹腔镜检查相比，采用宫腔镜下选择性插管术评估输卵管通畅性的准确性。
方法
对 35 名计划行腹腔镜检查和色素通液术的不孕患者，在进行腹腔镜检查和色素通液术之前，采用宫腔镜下选择性插管术进行检查。比较两种方法的检查结果。
结果
以腹腔镜染料法为参照，宫腔镜下输卵管评估的准确率为 82.9%，阳性预测值为 87.5%，阴性预测值为 76.7%。无并发症或失败发生。
结论
宫腔镜下选择性插管术是一种评估输卵管通畅性的有用方法。作为一种微创门诊操作，它可以作为评估不孕妇女子宫腔和输卵管的一线方法。
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