Duff D E, Fried A M, Wilson E A, Haack D G
AJR Am J Roentgenol. 1983 Oct;141(4):761-3. doi: 10.2214/ajr.141.4.761.
Twenty-six women were evaluated with both hysterosalpingography and laparoscopy. The hysterosalpingograms were reviewed independently by two radiologists. Postdrainage films were obtained in 19 of 26 patients. A high false-negative rate (44.9% overall) and low specificity (20.6%) were observed. The postdrainage film contributed to a correct diagnosis in only four of 38 tubes evaluated by the first radiologist and in none evaluated by the second radiologist. Hysterosalpingography is valuable as a screening procedure for identifying abnormals but is not specific in differentiating tubal adhesions from tubal obstructions. It is recommended that preliminary films not be obtained routinely and that postdrainage films be reserved for cases where fluoroscopic and spot-film findings are equivocal.
对26名女性进行了子宫输卵管造影和腹腔镜检查。两位放射科医生独立复查子宫输卵管造影。26例患者中有19例获得了引流后片子。观察到高假阴性率（总体为44.9%）和低特异性（20.6%）。第一位放射科医生评估的38条输卵管中，引流后片子仅对4条作出了正确诊断，而第二位放射科医生评估的输卵管中无一例通过引流后片子作出正确诊断。子宫输卵管造影作为筛查异常情况的程序很有价值，但在区分输卵管粘连和输卵管阻塞方面不具有特异性。建议不要常规获取初步片子，引流后片子应仅保留用于透视和点片结果不明确的病例。
