Is Laparoscopy Still Necessary in the Management of Tubal Infertility?  

作　　者：Abdoul Aziz Diouf Moussa Diallo Mame Diarra Ndiaye Aminata Niass Mamour Guèye Gnaza Tchindebe Anna Dia Magatte Mbaye Alassane Diouf Abdoul Aziz Diouf;Moussa Diallo;Mame Diarra Ndiaye;Aminata Niass;Mamour Guèye;Gnaza Tchindebe;Anna Dia;Magatte Mbaye;Alassane Diouf(Pikine National Hospital Center, Dakar, Senegal;Philippe Maguilen Senghor Health Center, Dakar, Senegal)

机构地区：[1]Pikine National Hospital Center, Dakar, Senegal [2]Philippe Maguilen Senghor Health Center, Dakar, Senegal

出　　处：《Open Journal of Obstetrics and Gynecology》2021年第2期63-69,共7页妇产科期刊（英文）

摘　　要：<strong>Objectives:</strong> <span style="font-family:;" "=""><span style="font-family:Verdana;">To compare between hysterosalpingography (HSG) and laparoscopic findings in patients tested for infertility and thereby to determine the significance of the latter examination. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">This was a descriptive study performed in two Gynecology departments in the Dakar (Senegal). Included were 84 patients with suspicious tubal-infertility who underwent HSG followed by laparoscopy. The Kappa (K) statistics was used to clarify the concordance between HSG vs. laparoscopy findings. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Kappa concordance between HSG and laparoscopy showed the followings: 0.08 for proximal tubal obstructions (poor agreement), 0.40 for distal tubal obstructions (moderate agreement), and -</span></span><span style="font-family:;" "=""><span><span style="font-family:Verdana;">0.08 for peritoneal adhesions (no agreement). Laparoscopy revealed pelvic adhesions in 84% of cases, pelvic endometriosis in 12% of cases, and apparently normal tubes in 12%. According to the distal tubal operability score, 16.6% of the lesions were classified as stage 4 and 23.8% at stage 1. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">HSG and laparoscopy findings did not agree in patients with tubal infertility, and thus, laparoscopy should be employed, especially when HSG showed abnormal findings. HSG has a low diagnostic value in adhesions.</span></span></span><strong>Objectives:</strong> <span style="font-family:;" "=""><span style="font-family:Verdana;">To compare between hysterosalpingography (HSG) and laparoscopic findings in patients tested for infertility and thereby to determine the significance of the latter examination. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">This was a descriptive study performed in two Gynecology departments in the Dakar (Senegal). Included were 84 patients with suspicious tubal-infertility who underwent HSG followed by laparoscopy. The Kappa (K) statistics was used to clarify the concordance between HSG vs. laparoscopy findings. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Kappa concordance between HSG and laparoscopy showed the followings: 0.08 for proximal tubal obstructions (poor agreement), 0.40 for distal tubal obstructions (moderate agreement), and -</span></span><span style="font-family:;" "=""><span><span style="font-family:Verdana;">0.08 for peritoneal adhesions (no agreement). Laparoscopy revealed pelvic adhesions in 84% of cases, pelvic endometriosis in 12% of cases, and apparently normal tubes in 12%. According to the distal tubal operability score, 16.6% of the lesions were classified as stage 4 and 23.8% at stage 1. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">HSG and laparoscopy findings did not agree in patients with tubal infertility, and thus, laparoscopy should be employed, especially when HSG showed abnormal findings. HSG has a low diagnostic value in adhesions.</span></span></span>

关 键 词：HYSTEROSALPINGOGRAPHY LAPAROSCOPY INFERTILITY Pelvic Adhesions 

分 类 号：R71[医药卫生—妇产科学]