A comparative study of hysterosalpingography and endoscopy/laparotomy in infertile patients.
A comparison of hysterosalpingography (HSG), using Lipiodol ultrafluid as contrast medium, with endoscopy/laparotomy in the evaluation of the tubal function in 124 infertile women is presented. There was agreement between the results of both methods in 73.4% of the patients. The false-negative rate was 2.4% and the false-positive rate was 8.9%. Complications in the form of intravasation were seen in three patients but none of them had any symptoms. The conception rate was 35% in the subgroup of patients with normal HSG. The authors recommend the continuous use of HSG in the overall evaluation of infertile patients. It is recommended to use oil-soluble contrast media because of its high diagnostic accuracy, low frequency of complications and its therapeutic advantages.
Nielsen
D T
DT
Department of Diagnostic Radiology, Odense University Hospital, Denmark.
Rasmussen
F
F
Justesen
P
P
D000328:Adult; D005184:Fallopian Tube Diseases / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000209:etiology*; D007459:Iodized Oil; D010535:Laparoscopy; D007813:Laparotomy
D007459:Iodized Oil