[Exploration of infertility: correlation hysterography hysteroscopy].
BACKGROUND
In literature, a uterine lesion in found in half of the infertile women.


OBJECTIVE
To compare the results of the hysteroscopy and the hysterosalpingography in the study of the uterine cavity as exploration of feminine infertility.


METHODS
Retrospective study, over a period of four years from 1 January 2005 to 31 December 2008 however, on 140 cases of infertile patients explored in the gynecology obstetrics department in Mahmoud El Matri hospital.


RESULTS
Compared with hysteroscopy, hysterography had an overall sensitivity of 76.56%, a specificity of 77.63%, a PPV of 74.24%, an NPV of 79.72% and a very strong correlation with coefficient of 0.83. Best correlations between the two examinations were found with polyps, fibroids and synechia.


CONCLUSIONS
Hysterosalpingography remains the first line examination in the exploration of feminine infertility. However, hysteroscopy must be realized as a second examination in case of lesions found at the hysterography or at once in certain cases.
Hopital Mahmoud El Matri, Ariana, Tunisie.
Mourali
M
Mechhal
Jihene
J
Ben Aoun
N
N
Hcini
Anissa
A
Gharsa
Seddik
S
Oueslati
Naoufel
N
Binous
Mounira
M
Chaabene
D000328:Adult; D005184:Fallopian Tube Diseases / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods / Q000706:statistics & numerical data*; D015907:Hysteroscopy / Q000379:methods / Q000706:statistics & numerical data*; D007247:Infertility, Female / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology; D008875:Middle Aged; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014591:Uterine Diseases / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology; D014599:Uterus / Q000002:abnormalities; D055815:Young Adult