子宫输卵管造影术和腹腔镜输卵管通液术在诊断输卵管通畅性方面的准确性。
Accuracy of hysterosalpingography and laparoscopic hydrotubation in diagnosis of tubal patency.
作者信息
Adelusi B, al-Nuaim L, Makanjuola D, Khashoggi T, Chowdhury N, Kangave D
机构信息
Department of Obstetrics and Gynaecology, King Khalid University Hospital, Riyadh, Saudi Arabia.
出版信息
Fertil Steril. 1995 May;63(5):1016-20. doi: 10.1016/s0015-0282(16)57540-2.
OBJECTIVE
To compare the diagnostic accuracy of two methods of assessment of tubal patency, viz, hysterosalpingography (HSG) and laparoscopic hydrotubation.
DESIGN
One hundred four infertile women who were investigated with both HSG and laparoscopy in King Khalid University Hospital were selected for the study. Complete history of factors that may predispose to tubal occlusion was obtained. Patients with problems of ovulatory failure or poor semen analysis that may contribute to their infertility were excluded.
RESULTS
The overall agreement between the two methods was 62.5%. However, the diagnostic accuracy of the two methods differed significantly.
CONCLUSION
It would appear that laparoscopic hydrotubation, despite its invasive nature, had an edge in diagnostic accuracy when compared with HSG. It would be advantageous to subject patients in whom HSG has shown tubal blockage to laparoscopy or any of the newer techniques of hysteroscopy or sonographic hydrotubation.
目的
比较两种评估输卵管通畅性的方法，即子宫输卵管造影术（HSG）和腹腔镜输卵管通液术的诊断准确性。
设计
选取在沙特国王哈立德大学医院接受了HSG和腹腔镜检查的104例不孕妇女进行研究。收集了可能导致输卵管阻塞的因素的完整病史。排除了存在排卵功能障碍问题或精液分析结果不佳可能导致不孕的患者。
结果
两种方法的总体一致性为62.5%。然而，两种方法的诊断准确性存在显著差异。
结论
看起来，腹腔镜输卵管通液术尽管具有侵入性，但与HSG相比在诊断准确性方面具有优势。对于HSG显示输卵管阻塞的患者，进行腹腔镜检查或任何更新的宫腔镜或超声输卵管通液技术将是有益的。
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