Can ultrasound-based investigations replace laparoscopy and hysteroscopy in infertility?

被引:24
作者
Hauge, K
Flo, K
Riedhart, M
Granberg, S [1 ]
机构
[1] Cent Hosp Hedemark, Dept Obstet & Gynecol, Elverum, Norway
[2] RITO Univ Hosp, Dept Obstet & Gynecol, Tromso, Norway
[3] Univ Innsbruck Hosp, Dept Obstet & Gynecol, A-6020 Innsbruck, Austria
来源
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2000年 / 92卷 / 01期
关键词
infertility; HyCoSy; ultrasound; laparoscopy; hysteroscopy;
D O I
10.1016/S0301-2115(00)00442-5
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives: To compare the use a simplified ultrasound based infertility investigation of the infertile couple with the current use of laparoscopy and hysteroscopy Study Design: Thirty-three infertile couples underwent transvaginal ultrasound and hystero-salpingo-contrast-sonography. A diagnosis was formulated based on the results of the ultrasound investigations, a semen analysis and endocrine parameters. The following day, all subjects underwent a laparoscopic chromotubation and hysteroscopy by a surgeon unaware of the ultrasound findings. A diagnosis based on the findings at laparoscopy and hysteroscopy, the same semen analysis and endocrine parameters, was then made. The two diagnoses were compared. Results: A 90.9% agreement was found between the diagnoses made from the two methods used. When considering laparoscopic diagnosis the Gold Standard of tubal patency, the sensitivity to diagnose occluded tubes using hystero-contrast-sonography was 92.8%. The corresponding figures for specificity, PPV and NPV were 96.2%, 92.8% and 98.1%, respectively. Conclusions: A simple, ultrasound based approach. to investigate the infertile couple, can be used effectively as an initial examination modality during the couple's work-up. However, there is a need for a larger study to confirm these results. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:167 / 170
页数:4
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