[Sonohysterosalpingography versus hysterosalpingography in the evaluation of uterine and tubal infertility].
OBJECTIVE
The evaluation of the role of sonohysterosalpingography with saline with air as a contrast solution (HYCOSY), in the assessment of uterine cavity and tubal patency, versus hysterosalpingography (HSG) and laparoscopy with dye test combined with hysteroscopy.


METHODS
Prospective study of 95 infertility patients, with ages 25-40 years (median 31), in which HYCOSY was compared with HSG regarding the diagnostic acuracy for uterine cavity pathology and tubal patency, and compared to laparoscopy with dye test combined with hysteroscopy as gold standard.


RESULTS
The sensibility, specificity, positive predictive value (PPV) and negative predictive value (NPV) for the diagnostic of uterine cavity pathology was: HYCOSY versus hysteroscopy of 72.1%, 96.15%, 93.93% and 80.64% respectively; HSG versus hysteroscopy was 83.3%, 60.7%, 63.6% and 81.6%; both methods combined versus hysteroscopy 95.34%, 61.53%, 67.21% and 94.11%. The same parameters for the tubal patency were: HYCOSY versus dye test laparoscopy 81.39%, 87.69%, 67.30% and 97.79%; HSG versus dye test laparoscopy 61.9%, 85.3%, 56.5% and 87.9%; both methods combined versus dye test 86%, 76%, 52.9% and 94.6%.


CONCLUSIONS
HYCOSY can be used in combination with HSG for selecting the patients that need further more invasive investigations, in order to describe uterine and tubal pathology.
Socolov
Demetra
D
Facultatea de Medicină, Departamentul de Obstetrică - Ginecologie, Universitatea de Medicină si Farmacie "Gr.T. Popa" Iaşi.
Lupaşcu
Ivona Anghelache
IA
Danciu
Elena
E
Doroftei
B
B
Boian
Iuliana
I
Boiculese
L
L
Pintilie
Petronela
P
Miron
Nora
N
D000328:Adult; D000388:Air; D004396:Coloring Agents; D003287:Contrast Media; D005187:Fallopian Tubes / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy / Q000379:methods*; D007247:Infertility, Female / Q000175:diagnosis / Q000000981:diagnostic imaging*; D010535:Laparoscopy / Q000379:methods*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D014463:Ultrasonography; D014599:Uterus / Q000000981:diagnostic imaging*
D004396:Coloring Agents; D003287:Contrast Media