[Comparison between hysterosonography and hysterosalpinography in the study of endometrial abnormalities in infertility patients].
OBJECTIVE
We compare effectiveness between HSS and HSG for detection of endometrial abnormalities among patient with infertility.


METHODS
Prospective, cross section, comparative.


METHODS
33 patients were studied. HSS and HSG were carried out. The images of both studies were compared, settled down a presumptive diagnosis of normality or abnormality. The analysis included percentage of agreement, coefficient of agreement Kappa, square Ji, reason of verisimilitude.


RESULTS
Of 33 studied patients was diagnostics correlation in 17 (52%). The pathologies with more correlation were congenital malformations and submucous miomas, with less correlation were adherences. Other opposing pathologies were polyps and corioplacentary remains. In 9 patients (27%) we find normality in both studies. When comparing the positive studies in each group we don't find differs statistically significant (P > 0.05). The association among both techniques was high (K = 0.70). The reason of verisimilitude of the tests was 98% for HSS and 90% for HSG.


CONCLUSIONS
Both studies are useful to evaluate the uterine cavity. However histerosonography has bigger sensibility and specificity, besides is a quick, easy, and economic study, with less discomfort and complications than histerosalpingography.
D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D016889:Endometrial Neoplasms / Q000150:complications / Q000000981:diagnostic imaging; D004717:Endometrium / Q000002:abnormalities; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000000981:diagnostic imaging / Q000209:etiology*; D007889:Leiomyoma / Q000150:complications / Q000000981:diagnostic imaging; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D000267:Tissue Adhesions / Q000150:complications / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014591:Uterine Diseases / Q000150:complications / Q000000981:diagnostic imaging; D014599:Uterus / Q000000981:diagnostic imaging*