Evaluation of Tubal Patency with Transvaginal Three- dimensional Hysterosalpingo-contrast Sonography<sup>△</sup>

Cheng Qi; Wang Sha-sha; Zhu Xian-sheng; Li Fan

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Evaluation of Tubal Patency with Transvaginal Three- dimensional Hysterosalpingo-contrast Sonography^△

Chinese Medical Sciences Journal Vol. 30, Issue 2, Pages: 70-75(2015)

Original Articles | Updated：2024-04-10

- Evaluation of Tubal Patency with Transvaginal Three- dimensional Hysterosalpingo-contrast Sonography^△
- Affiliations：
  
  Department of Ultrasonography, Guangzhou General Hospital of Guangzhou Military Command of People’s Liberation Army, Guangzhou 510010, China
- Author bio：
  
  *Corresponding author Tel: 86-20-88653449, Fax: 86-20-88653450, E-mail: 457563258@qq.com
- Funds：
- DOI：
  CLC：
- Received：16 May 2014，
  
  Published Online：20 April 2015，
  
  Published：2015-04
- Accepted：
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Cheng Qi, Wang Sha-sha, Zhu Xian-sheng, et al. Evaluation of Tubal Patency with Transvaginal Three- dimensional Hysterosalpingo-contrast Sonography^△[J]. Chinese medical sciences journal, 2015, 30(2): 70-75.
DOI：

Cheng Qi, Wang Sha-sha, Zhu Xian-sheng, et al. Evaluation of Tubal Patency with Transvaginal Three- dimensional Hysterosalpingo-contrast Sonography^△[J]. Chinese medical sciences journal, 2015, 30(2): 70-75. DOI：

摘要

Abstract

Objective

To investigate diagnostic efficacy of transvaginal three-dimensional hysterosalpingo-contrast sonography (3D-HyCoSy) in assessing tubal patency with chromolaporoscopy.

Methods

A total of 157 infertile women underwent 3D-HyCoSy to evaluate tubal patency. Among these patients

39 patients were also examined by chromolaporoscopy. The concordance of the two clinical assessment methods was analyzed by the Kappa coefficient test.

Results

Among the 306 oviducts examined by 3D-HyCoSy

99 (32.4%) were patent

126 (41.2%) partially obstructed

and 81 (26.5%) completely obstructed. Diagnostic results with 3D-HyCoSy were not statistically different from those obtained in the 39 women (78 oviducts) who also underwent chromolaporoscopy

and the two methods showed a high concordance (

=0.747

=0.000). The 3D-HyCoSy procedure had a sensitivity of 84.8% (28/33)

a specificity of 96.2% (25/26)

and positive and negative predictive values of 93.3% (28/30) and 86.2% (25/29) respectively.

Conclusion

Transvaginal 3D-HyCoSy can accurately reveal the spatial path and morphology of the oviduct and is a safe and effective method to evaluate tubal patency.

关键词

Keywords

references

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