Next Article in Journal
Helicobacter pylori genotypes in Lithuanian patients with chronic gastritis and duodenal ulcer
Previous Article in Journal
The comparison of 2-dimensional with 3-dimensional hepatic visualization in the clinical hepatic anatomy education
Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

The value of hysterosalpingography in the diagnosis of tubal pathology among infertile patients

Department of Obstetrics and Gynecology, Kaunas University of Medicine, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2008, 44(6), 439; https://doi.org/10.3390/medicina44060057
Received: 19 November 2007 / Accepted: 12 June 2008 / Published: 17 June 2008
Objective. To evaluate the diagnostic accuracy of hysterosalpingography in the diagnosis of tubal pathology among infertile patients.
Patients and methods. A prospective cross-sectional study in Kaunas University of Medicine Hospital within the period of 18 months was performed. Consecutive infertile women formed the study group according to defined criteria. Hysterosalpingography was performed in the preovulatory phase of the menstrual cycle. Laparoscopy and dye test was performed within one – three months after hysterosalpingography. General tubal pathology, tubal occlusion, and peritubal adhesions detected at hysterosalpingography were compared with general tubal pathology, tubal occlusion, and peritubal adhesions detected at laparoscopy.
Results
. The study population comprised 149 infertile women. The sensitivity of 81.4% and specificity of 47.8% the likelihood ratio of a positive test result of 1.6 and a negative test result of 0.4 for hysterosalpingography while evaluating general tubal pathology was determined. Sensitivity of 84.1% and specificity of 59.1% and likelihood ratios of 2.1 and 0.3, respectively, were calculated, when tubal occlusion was defined as any abnormality of tubal patency. When definition of tubal occlusion was limited to two-sided occlusion, the sensitivity and specificity were 89.5% and 90% and likelihood ratios 9.0 and 0.1, respectively. As a test of peritubal adhesions, hysterosalpingography had sensitivity of 35.5% and specificity of 81.3% and likelihood ratios of 1.9 and 0.8, respectively.
Conclusion. The diagnostic performance of hysterosalpingography in the diagnosis of general tubal pathology and peritubal adhesions is poor. Hysterosalpingography is more accurate in the diagnosis of tubal occlusion.
Keywords: hysterosalpingography; laparoscopy; sensitivity; specificity; likelihood ratio hysterosalpingography; laparoscopy; sensitivity; specificity; likelihood ratio
MDPI and ACS Style

Tvarijonavičienė, E.; Nadišauskienė, R.J. The value of hysterosalpingography in the diagnosis of tubal pathology among infertile patients. Medicina 2008, 44, 439.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Only visits after 24 November 2015 are recorded.
Back to TopTop