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Comparative study of tubal patency by sonosalpingogram hysterosalpingography and diagnostic laparoscopy

机译:超声输卵管子宫输卵管造影和腹腔镜诊断输卵管通畅的比较研究

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Background: Sonosalpingography has been suggested as the first-line method to study tubal patency. This study is to bring into focus the value of pelvic sonogram in accessing tubal patency in order to overcome the radiation hazard associated with hysterosalpingogram reduce the cost of examination and encourage it at first-line office. Objective of this study was to compare the diagnostic efficacy of sonosalpingogram, hysterosalpingography and diagnostic laparoscopy for tubal patency as a cause for female infertility. Methods: It is a prospective study in 100 patients attending for evaluation of infertility for a period of 2 years were chosen for this study. All cases with primary and secondary infertility who have attended infertility clinic for tubal causes. Results: 68 cases were found to have bilateral patency as per SSG while 58 cases had bilateral patency as HSG. Similarly 24 cases had bilateral block as per SSG while 28 cases had bilateral block as per HSG. 8 cases had unilateral block as per SSG while 14 cases had unilateral block as per HSG. This difference in observations may probably attribute to tubal spasm in HSG. Bilateral patency was observed in 68 cases as against 64 cases in laparoscopy. Out of these 68 cases 9 cases were false positive as bilaterally patent. However bilateral blocks were shown to be 24 in both methods. Out of 12 cases of unilateral block as per laparoscopy 8 cases were detected by SSG. There was false negative rate of 5%. There was false negative rate of 10% for tubal patency with HSG. Conclusions: For low risk subjects for tubal factors in infertility, sonosalpingogram can be employed as a screening test of choice and for high risk subjects HSG and laparoscopy can be used.
机译:背景:超声输卵管造影术被认为是研究输卵管通畅性的一线方法。这项研究旨在使盆腔超声检查在输卵管通畅方面的价值成为重点,以克服与子宫输卵管造影相关的放射线危害,从而降低检查成本并鼓励在一线办公室进行检查。这项研究的目的是比较超声输卵管造影,子宫输卵管造影和腹腔镜诊断输卵管通畅作为女性不孕原因的诊断功效。方法:这是一项前瞻性研究,共入选100例2年内进行不育评估的患者。所有因输卵管原因而去不育诊所就诊的原发性和继发性不育病例。结果:根据SSG,发现68例双侧通畅,而HSG发现58例双侧通畅。同样,根据SSG,有24例有双侧阻滞,而根据HSG有28例有双侧阻滞。根据SSG,有8例有单侧阻滞,而根据HSG有14例有单侧阻滞。这种观察上的差异可能归因于HSG中的输卵管痉挛。在腹腔镜检查中,有68例观察到双侧通畅,而64例观察到。在这68例案件中,有9例作为双边专利误报。但是,两种方法均显示双边阻滞为24个。根据腹腔镜检查,在12例单侧阻塞患者中,有8例被SSG检测到。假阴性率为5%。 HSG输卵管通畅的假阴性率为10%。结论:对于输卵管因素不孕症的低风险受试者,可以使用超声输卵管造影作为选择的筛查方法;对于高风险受试者,可以使用HSG和腹腔镜检查。

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