Wang C W, Lee C L, Lai Y M, Tsai C C, Chang M Y, Soong Y K
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5 Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan, Republic of China.
J Am Assoc Gynecol Laparosc. 1996 Aug;3(4):581-4. doi: 10.1016/s1074-3804(05)80170-7.
To determine the diagnostic value of hysterosalpingography (HSG) and diagnostic hysteroscopy in infertility evaluations.
Comparative 2-year study.
Outpatient infertility clinic of a tertiary medical center.
Two hundred sixteen women being investigated for infertility.
An HSG was followed by a diagnostic hysteroscopy.
The HSGs were interpreted as normal in 79 (36.9%) women and as showing some abnormalities of the uterine cavity in 135 (63.1%). In the former group, 51 patients had a normal uterine cavity, but 28 had abnormal findings on hysteroscopy, a false negative rate of 35.4%. Of 135 women with an abnormal HSG, hysteroscopy found a normal uterine cavity in 21, a false positive rate of 15.6%. The sensitivity of HSG was 80.3% in revealing intrauterine abnormality and its specificity was 70.1%. Although some abnormalities were identified by both methods in 114 women, findings of both procedures were similar in only 88 (77.2%). In 75 (35.0%), the findings of HSG differed from those of hysteroscopy. In only 139 (65%) patients were the findings (normal and abnormal) similar for both methods.
We advocate hysteroscopy in the investigation of female infertility for its accuracy, safety, simplicity, and convenience.
确定子宫输卵管造影（HSG）和诊断性宫腔镜检查在不孕症评估中的诊断价值。
为期两年的对比研究。
一家三级医疗中心的门诊不孕症诊所。
216名接受不孕症检查的女性。
先进行子宫输卵管造影，然后进行诊断性宫腔镜检查。
子宫输卵管造影显示79名（36.9%）女性正常，135名（63.1%）女性子宫腔有异常。在前一组中，51名患者子宫腔正常，但28名患者宫腔镜检查有异常发现，假阴性率为35.4%。在135名子宫输卵管造影异常的女性中，宫腔镜检查发现21名子宫腔正常，假阳性率为15.6%。子宫输卵管造影显示子宫内异常的敏感性为80.3%，特异性为70.1%。虽然114名女性通过两种方法都发现了一些异常，但两种检查结果仅在88名（77.2%）女性中相似。在75名（35.0%）女性中，子宫输卵管造影结果与宫腔镜检查结果不同。两种方法的检查结果（正常和异常）仅在139名（65%）患者中相似。
我们提倡在女性不孕症检查中使用宫腔镜检查，因其具有准确性、安全性、简便性和便利性。
