Matorras R, Rodriguez F, Pêrez C, Pijoan J I, Echanojauregui A, Rodriguez-Escudero F J
Department of Obstetrics and Gynecology, Hospital de Cruses, Baracaldo, Vizcaya, Spain.
Clin Exp Obstet Gynecol. 1998;25(1-2):29-31.
To assess the agreement between tubal patency assessed by laparoscopy with chromopertubation and by hysterosalpingography using contrast media.
University Medical School.
314 consecutive women subjected to laparoscopy and hysterosalpingography for an infertility study.
Prospective study.
Chromopertubation using Methylen blue dye, performed on days 20-24. Hysterosalpingography performed on days 7-10 with water soluble contrast.
Kappa coefficient calculation.
Kappa coefficient ranged from 0.40 to 0.36, depending on the categories analyzed, corresponding to a fair agreement.
The diagnosis of tubal factor requires that both tubal patency tests (Hysterosalpingography and laparoscopy) show an abnormal patency. When one of the aforementioned tests is normal, performing the second one has little clinical advantage. However, it is suggested that when there is a discordant patency the pregnancy rates could be somewhat reduced.
评估腹腔镜下美蓝通液术与子宫输卵管造影术（使用造影剂）评估输卵管通畅性之间的一致性。
大学医学院。
314名连续接受腹腔镜检查和子宫输卵管造影术以进行不孕症研究的女性。
前瞻性研究。
在第20 - 24天使用亚甲蓝染料进行通液术。在第7 - 10天使用水溶性造影剂进行子宫输卵管造影术。
计算kappa系数。
根据分析的类别，kappa系数范围为0.40至0.36，对应一般一致性。
输卵管因素的诊断需要两种输卵管通畅性检查（子宫输卵管造影术和腹腔镜检查）均显示通畅异常。当上述检查之一正常时，进行第二项检查几乎没有临床优势。然而，建议当通畅性不一致时，妊娠率可能会有所降低。
