Analysis of the diagnostic consistency of hysterosalpinography and laparoscopy combined with hysteroscopy in tubal infertility
Ji Pengcheng
Shi Huirong
Ren Fang
Jia Yanyan
Abstract：Objective To analyze the diagnostic consistency of hysterosalpinography and laparoscopy combined with hysteros-copy in tubal infertility.Methods 225 female infertility patients with abnormal uterine oviduct radiography who further received laparoscopy combined with hysteroscopy exploration were selected.Their film diagnosis were re-read by the doctors in Depart-ment of Obstetrics and Gynecology.Their diagnostic results were smooth,proximal obstruction,distal hydrocephalus,and smooth but not fluent or adhesions;then coincidence rate of diagnosis for radiography films were analyzed by the doctors with certain clin-ical experience in Department of Obstetrics and Gynecology and Imaging Department.Diagnostic consistency was analyzed be-tween the different diagnostic results of hysterosalpinography and laparoscopy combined with hysteroscopy.Results There were 126 fallopian tubes (28.00%)in 450 with smooth and not fluent or adhesion under the diagnosis of doctors in Department of Ob-stetrics and Gynecology.There were 86 fallopian tubes (19.11%)in 450 under the diagnosis of doctors in Imaging Department. There were significant differences (P<0. 05 ).HSG and laparoscopy combined with hysteroscopy exploration had a good consis-tency in the diagnosis of tubal patency,and the Kappa value was 0.531 (P<0. 05).The HSG diagnosis sensitivity of fallopian tube patency was 91. 15%,the specificity was 69. 64%,and Youden index was 0. 608.The sensitivity of proximal obstruction was 77. 92%,the specificity was 93. 30%,and the Youden index was 0. 712;the sensitivity of distal hydrops was 91. 48%,the specificity was 25. 49%,and the Youden index was 0. 660;the diagnosis sensitivity of smooth but not fluent or adhesion was 81. 70%,the specificity was 0. 072,and the Youden index was 74. 49%.Conclusion HSG is suitable to be the preliminary screening of the diagnosis of tubal infertility.It has a high accuracy,but has a low diagnostic rate in pelvic adhesions and affects the results.The infertility patients with abnormal HSG results should be treated with laparoscopy combined with hysteroscopy ex-ploration in a timely manner,so that a more comprehensive diagnosis and treatment should be used.
Keywords：hysterosalpinographylaparoscopy combined with hysteroscopy explorationtubal infertilitydiagnosisconsistency
Publication Date：2016-01-01
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 1921-1924 )