McBean J H, Gibson M, Brumsted J R
Department of Obstetrics and Gynecology, University of Vermont College of Medicine, Burlington, USA.
Fertil Steril. 1996 Oct;66(4):522-6. doi: 10.1016/s0015-0282(16)58562-8.
To determine whether there is a significant association between the presence of polyps or polypoid endometrium on hysterosalpingogram (HSG) with the presence of pelvic or peritoneal endometriosis.
Retrospective chart review.
Department of Reproductive Endocrinology and Infertility at the University of Vermont, College of Medicine.
One hundred twenty patients, all of whom had a HSG, hysteroscopy, and laparoscopy by a member of our department between 1989 and 1993.
Hysterosalpingograms were assessed for the presence of hypertrophic or polypoid endometrium. The presence of endometriosis was documented laparoscopically and scored according to The American Fertility Society classification and HSG findings were documented by hysteroscopy.
Endometriosis was found in 27 of 32 women with polyps or polypoid endometrium but in only 19 of 88 women without. chi 2 analysis revealed a significant association between the demonstration of polyps or polypoid endometrium on HSG and the presence of endometriosis, chi 2(1) = 33.97. The predictive value of a positive test was 84% and the negative predictive value was 75%.
The presence of polyps or polypoid endometrium on HSG is significantly associated with the presence of pelvic or peritoneal endometriosis.
确定子宫输卵管造影（HSG）显示的息肉或息肉样子宫内膜与盆腔或腹膜子宫内膜异位症之间是否存在显著关联。
回顾性病历审查。
佛蒙特大学医学院生殖内分泌与不孕症科。
120例患者，均在1989年至1993年间由本部门成员进行了子宫输卵管造影、宫腔镜检查和腹腔镜检查。
评估子宫输卵管造影中是否存在肥厚性或息肉样子宫内膜。通过腹腔镜检查记录子宫内膜异位症的存在情况，并根据美国生育协会分类进行评分，通过宫腔镜检查记录子宫输卵管造影的结果。
32例有息肉或息肉样子宫内膜的女性中有27例发现子宫内膜异位症，而88例无息肉或息肉样子宫内膜的女性中只有19例发现。卡方分析显示，子宫输卵管造影显示息肉或息肉样子宫内膜与子宫内膜异位症的存在之间存在显著关联，卡方值（1）=33.97。阳性试验的预测价值为84%，阴性预测价值为75%。
子宫输卵管造影显示的息肉或息肉样子宫内膜与盆腔或腹膜子宫内膜异位症的存在显著相关。
