[Comparison of hysterosalpingographic and laparoscopic findings in tubal factor of sterility (author's transl)].
Hysterosalpingographic and laparoscopic findings in 116 sterile women with the ovulatory cycle and the fertile spermiogram of their husbands were compared. Laparoscopy was performed in 65 patients in whom hysterosalpingography (HSG) revealed the occlusion of one or both tubes localized at the abdominal orifice, then in 23 women with unobstructed tubes and pertubal adhesions, and in 28 women in whom HSG findings were normal and who did not conceive at least 6 months after HSG. In 69% of cases the results of both methods were similar, whereas in 31% of cases laparoscopic findings, 18 laparoscopic findings showed significant by hysterosalpingography. Out of 28 normal HSG findings, 18 laparoscopic findings showed significant pathologic tubal changes. In unilateral occlusions HSG revealed peritubal adhesions in unobstructed tubes in 4 cases and laparoscopy in 18 out of 24 cases along with the agglutination of the fimbria and periovarian adhesions. In the whole group of the women examined, HSG revealed periadnexal adhesions in 39 (33%) and laparoscopy in 69 cases (59%).
D000328:Adult; D005184:Fallopian Tube Diseases / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000175:diagnosis* / Q000209:etiology; D010535:Laparoscopy; D000267:Tissue Adhesions
Komparacija histerosalpingografije i laparoskopije kod tubarnog faktora neplodnosti.