Sonohysterosalpingography: a suitable choice in infertility workup

被引:12
|
作者
Graziano, Angela [1 ]
Lo Monte, Giuseppe [1 ]
Soave, Ilaria [1 ]
Caserta, Donatella [2 ]
Moscarini, Massimo [2 ]
Marci, Roberto [1 ]
机构
[1] Univ Ferrara, Dept Biomed Sci & Adv Therapies, Sect Obstet & Gynaecol, I-44121 Ferrara, Italy
[2] Univ Roma La Sapienza, S Andrea Hosp, Dept Woman Hlth & Terr Med, I-00185 Rome, Italy
关键词
Sonohysterosalpingography; Hysteroscopy; RX-hysterosalpingography; Tubal patency; Infertility; HYSTEROSALPINGO-CONTRAST-SONOGRAPHY; TUBAL PATENCY; HYCOSY; PAIN; WOMEN;
D O I
10.1007/s10396-012-0417-0
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
To evaluate the efficacy, compliance, and cost effectiveness of sonohysterosalpingography (HyCoSy) compared with hysteroscopy for uterine cavity evaluation and compared with RX-hysterosalpingography (RX-HSG) for tubal patency determination. Three hundred and eight infertile patients underwent HyCoSy, hysteroscopy, and RX-HSG. We compared sensitivity, specificity, positive and negative predictive values (PPV and NPV), discomfort level, and cost of all three procedures. Sensitivity, specificity, PPV, and NPV were higher for HyCoSy than for hysteroscopy but the differences were not significant. HyCoSy also has the same accuracy as RX-HSG. Pain perception and cost were higher for RX-HSG and hysteroscopy than for HyCoSy. HyCoSy can be regarded as a procedure for initial evaluation of the uterine cavity and of tubal patency in infertile patients.
引用
收藏
页码:225 / 229
页数:5
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