|
|
A comparision between tubal patency diagnosis and hysteroscopic hydrotubation accompanied by B-type ultrasound and hysterography |
ZHU Shuping,CHEN Yaqiong,CHANG Aihua |
Department of Obstetrics Gynecology, Affiliated Hospital of Logistics College of Chinese People's Armed Police Forces, Tianjin 300162, China |
|
|
Abstract Objective To compare the clinical value of hysteroscopic hydrotubation accompanied by B-type ultrasound and HSG in the diagnosis of tubal patency. Methods 265 infertile patients between Jan 2008 and Jan 2009 underwent hysteroscopic hydrotubation. Preoperative hysterosalpingography was performed routinely in hospitals of Grade Three. Their evaluation of the patency of the fallopian tube was compared. Results Hysterosalpingography and hysteroscopic hydrotubation both found 204 tubes blocked, 216 tubes open, 14 tubes open but not clear, both with an accuracy of 81.8% (434/530). The diagnosis was consistent between the two methods(Kappa=0.69, P=0.03). Conclusion Both hysteroscopic catheter hydrotubation accompanied by B-type ultrasound and HSG have their own advantages in tubal patency diagnosis. Methods used should vary according to patients and conditions.
|
Received: 14 February 2012
|
|
|
|
|
[1] |
乐 杰.妇产科学[M].7版.北京:人民卫生出版社,2007:351.[2] Brown S, Lumley J. Tubal evaluation in the investigation of subfertility: a structured comparison of tests [J]. BJOG, 2004, 111(12):1313-1321.[3] Winter L, Glucker T, Steimann S, et al. Feasibility of dynamic MR-hysterosalpingography for the diagnostic work up of infertile women[J]. Acta Radiol, 2010, 51(6): 693-701.[4] Anna R D, Belen , Alicia , et al. Diagnostic value of hysterosalpingography in the detection of intrauterine abnormalities: a comparison with hysteroscopy[J]. AJR, 2004, 183(11): 1405-1409.[5] 戴红艳,王 莉, 马瑞林. 宫腔镜联合超声检查在输卵管通液术中的应用[J]. 内蒙古医学杂志,2006,38(12):1192-1193.[6] 赵 婧,黄 欣, 张理琼. 超声监视下输卵管通液术在不孕症诊治中的应用[J] 西部医学, 2011, 23(4):741-742.[7] Karayalcin R, Ozcan S, Moraloglu O, et al. Results of 2500 office-based diagnostic hysteroscopies before IVF [J]. Reprod Biomed Online, 2010,20: 689-693.[ZK)](2012-02-14
|
|
|
|