Evaluation of Tubal Patency with Transvaginal Three-dimensional Hysterosalpingo-contrast Sonography / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal
; (4): 70-75, 2015.
Article
in En
| WPRIM
| ID: wpr-242843
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate diagnostic efficacy of transvaginal three-dimensional hysterosalpingo-contrast sonography (3D-HyCoSy) in assessing tubal patency with chromolaporoscopy.</p><p><b>METHODS</b>A total of 157 infertile women underwent 3D-HyCoSy to evaluate tubal patency. Among these patients, 39 patients were also examined by chromolaporoscopy. The concordance of the two clinical assessment methods was analyzed by the Kappa coefficient test.</p><p><b>RESULTS</b>Among the 306 oviducts examined by 3D-HyCoSy, 99 (32.4%) were patent, 126 (41.2%) partially obstructed, and 81 (26.5%) completely obstructed. Diagnostic results with 3D-HyCoSy were not statistically different from those obtained in the 39 women (78 oviducts) who also underwent chromolaporoscopy, and the two methods showed a high concordance (k=0.747, P=0.000). The 3D-HyCoSy procedure had a sensitivity of 84.8% (28/33), a specificity of 96.2% (25/26), and positive and negative predictive values of 93.3% (28/30) and 86.2% (25/29) respectively.</p><p><b>CONCLUSION</b>Transvaginal 3D-HyCoSy can accurately reveal the spatial path and morphology of the oviduct and is a safe and effective method to evaluate tubal patency.</p>
Full text:
1
Index:
WPRIM
Main subject:
Diagnostic Imaging
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Hysterosalpingography
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Ultrasonography
/
Laparoscopy
/
Contrast Media
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Imaging, Three-Dimensional
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Fallopian Tube Patency Tests
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Fallopian Tubes
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Infertility, Female
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Methods
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Chinese Medical Sciences Journal
Year:
2015
Type:
Article