Okonofua F E, Essen U I, Nimalaraj T
Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolow University, Ile-Ife, Nigeria.
Int J Gynaecol Obstet. 1989 Feb;28(2):143-7. doi: 10.1016/0020-7292(89)90474-8.
One hundred ten infertile women underwent hysterography (HSG) and laparoscopy at the Obafemi Awolowo University, Nigeria. Both techniques showed normal tubal patency in 62 (56.4%) women and abnormal pelvic pathology in 48 (43.6%). All 48 women underwent laparotomy for tuboplasty. At laparotomy, HSG and laparoscopic assessments were compared. Both techniques were comparable in the diagnosis of intratubal and distal tubal occlusion. However, laparoscopy was superior in the diagnosis of non-tubal factors and proximal tubal occlusion (P less than 0.002). It is suggested that laparoscopy should be the first procedure in the investigation of tubal infertility and only followed by HSG if the results show some abnormality.
110名不孕女性在尼日利亚奥巴费米·阿沃洛沃大学接受了子宫输卵管造影术（HSG）和腹腔镜检查。两种检查方法均显示，62名（56.4%）女性输卵管通畅正常，48名（43.6%）女性盆腔病理异常。所有48名女性均接受了输卵管成形术剖腹手术。在剖腹手术中，对HSG和腹腔镜检查结果进行了比较。两种检查方法在诊断输卵管内和输卵管远端阻塞方面具有可比性。然而，腹腔镜检查在诊断非输卵管因素和输卵管近端阻塞方面更具优势（P<0.002）。建议腹腔镜检查应作为输卵管性不孕检查的首选方法，只有在结果显示有异常时才进行HSG检查。
