Muzii L, Marana R, Mancuso S
Department of Obstetrics and Gynecology, Universita Cattolica del Sacro Cuore, Rome, Italy.
Radiology. 1996 May;199(2):469-71. doi: 10.1148/radiology.199.2.8668796.
To evaluate the accuracy of hysterosalpingography (HSG) in the diagnosis of distal fallopian tube occlusion in infertile patients who were candidates for laparoscopic surgery.
A retrospective review of charts was performed for 25 patients who were scheduled to undergo laparoscopic surgery. A preoperative diagnosis was made at HSG of bilateral (or unilateral in case of previous contralateral salpingectomy) distal tube occlusion.
At laparoscopy, in three patients (12%) who were scheduled for salpingostomy, the diagnosis of distal tube occlusion made at HSG was incorrectly positive; in the three patients, a single tubal diverticulum was present in the distal ampulla in otherwise normal, patent tubes.
Bilateral tubal diverticula appear to be often misdiagnosed at HSG as distal tube occlusion.
评估子宫输卵管造影术（HSG）对因不孕症而拟行腹腔镜手术患者远端输卵管阻塞诊断的准确性。
对计划接受腹腔镜手术的25例患者的病历进行回顾性分析。术前通过HSG诊断为双侧（既往对侧输卵管切除者为单侧）远端输卵管阻塞。
在腹腔镜检查中，计划行输卵管造口术的3例患者（12%），HSG诊断的远端输卵管阻塞为假阳性；在这3例患者中，正常、通畅的输卵管远端壶腹部存在单个输卵管憩室。
双侧输卵管憩室在HSG检查中常被误诊为远端输卵管阻塞。
