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Article: Comparison of three-dimensional hysterosalpingo-contrast-sonography and diagnostic laparoscopy with chromopertubation in the assessment of tubal patency for the investigation of subfertility

TitleComparison of three-dimensional hysterosalpingo-contrast-sonography and diagnostic laparoscopy with chromopertubation in the assessment of tubal patency for the investigation of subfertility
Authors
KeywordsLaparoscopy
Subfertility
Three-dimensional hysterosalpingo-contrast- sonography
Issue Date2005
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-0412
Citation
Acta Obstetricia Et Gynecologica Scandinavica, 2005, v. 84 n. 9, p. 909-913 How to Cite?
AbstractBackground. Two-dimensional hysterosalpingo-contrast-sonography, as a screening test for tubal patency for subfertile patients, is limited by the difficulty in visualizing the entire Fallopian tube owing to its tortuosity. This major disadvantage can be overcome by means of the three-dimensional hysterosalpingo-contrast-sonography (3D-HyCoSy). The current study compared the efficacy of 3D-HyCoSy with diagnostic laparoscopy and its feasibility as a screening test for tubal patency. Methods. Twenty-one consecutive patients scheduled to have laparoscopy were recruited to undergo the 3D-HyCoSy 2 days before the scheduled laparoscopy. Echovist® (Schering AG, Berlin, Germany), the ultrasound contrast medium, was injected into the uterine cavity via a Foley's catheter. The flow of the medium in the Fallopian tube was captured by using three-dimensional power Doppler mode and was stored for later analysis. The person analyzing the images, the surgeon performing the laparoscopy, and the patients were blinded to the patients' identity and the sonography findings. The sonography and the laparoscopy findings were compared. The duration for the ultrasound examination, pain score, and patient acceptability were assessed. Results. Thirty-four of 42 (81%) Fallopian tubes were assessed. The sensitivity of 3D-HyCoSy for detecting tubal patency was 100% with a specificity of 67%. The positive and negative predictive values were 89 and 100%, respectively; the concordance rate was 91%. The mean duration (± SD) for the 3D-HyCoSy was 13.4 ± 5.5 min. Fifteen patients (71%) regarded the sonography examination as at least acceptable. Conclusions. This study confirmed the feasibility of using 3D-HyCoSy as an initial investigation for tubal patency. © Acta Obstet Gynecol Scand 2005.
DescriptionComment in Acta Obstet Gynecol Scand. 2006;85(4):508-9; author reply 509-510.
Persistent Identifierhttp://hdl.handle.net/10722/87413
ISSN
2015 Impact Factor: 2.191
2015 SCImago Journal Rankings: 1.197
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, CCWen_HK
dc.contributor.authorNg, EHYen_HK
dc.contributor.authorTang, OSen_HK
dc.contributor.authorChan, KKLen_HK
dc.contributor.authorHo, PCen_HK
dc.date.accessioned2010-09-06T09:29:21Z-
dc.date.available2010-09-06T09:29:21Z-
dc.date.issued2005en_HK
dc.identifier.citationActa Obstetricia Et Gynecologica Scandinavica, 2005, v. 84 n. 9, p. 909-913en_HK
dc.identifier.issn0001-6349en_HK
dc.identifier.urihttp://hdl.handle.net/10722/87413-
dc.descriptionComment in Acta Obstet Gynecol Scand. 2006;85(4):508-9; author reply 509-510.-
dc.description.abstractBackground. Two-dimensional hysterosalpingo-contrast-sonography, as a screening test for tubal patency for subfertile patients, is limited by the difficulty in visualizing the entire Fallopian tube owing to its tortuosity. This major disadvantage can be overcome by means of the three-dimensional hysterosalpingo-contrast-sonography (3D-HyCoSy). The current study compared the efficacy of 3D-HyCoSy with diagnostic laparoscopy and its feasibility as a screening test for tubal patency. Methods. Twenty-one consecutive patients scheduled to have laparoscopy were recruited to undergo the 3D-HyCoSy 2 days before the scheduled laparoscopy. Echovist® (Schering AG, Berlin, Germany), the ultrasound contrast medium, was injected into the uterine cavity via a Foley's catheter. The flow of the medium in the Fallopian tube was captured by using three-dimensional power Doppler mode and was stored for later analysis. The person analyzing the images, the surgeon performing the laparoscopy, and the patients were blinded to the patients' identity and the sonography findings. The sonography and the laparoscopy findings were compared. The duration for the ultrasound examination, pain score, and patient acceptability were assessed. Results. Thirty-four of 42 (81%) Fallopian tubes were assessed. The sensitivity of 3D-HyCoSy for detecting tubal patency was 100% with a specificity of 67%. The positive and negative predictive values were 89 and 100%, respectively; the concordance rate was 91%. The mean duration (± SD) for the 3D-HyCoSy was 13.4 ± 5.5 min. Fifteen patients (71%) regarded the sonography examination as at least acceptable. Conclusions. This study confirmed the feasibility of using 3D-HyCoSy as an initial investigation for tubal patency. © Acta Obstet Gynecol Scand 2005.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-0412en_HK
dc.relation.ispartofActa Obstetricia et Gynecologica Scandinavicaen_HK
dc.rightsActa Obstetricia et Gynecologica Scandinavica. Copyright © John Wiley & Sons Ltd.-
dc.subjectLaparoscopyen_HK
dc.subjectSubfertilityen_HK
dc.subjectThree-dimensional hysterosalpingo-contrast- sonographyen_HK
dc.subject.meshFallopian Tube Patency Tests - methods-
dc.subject.meshHysterosalpingography-
dc.subject.meshInfertility, Female - diagnosis-
dc.subject.meshLaparoscopy-
dc.subject.meshPain Measurement-
dc.titleComparison of three-dimensional hysterosalpingo-contrast-sonography and diagnostic laparoscopy with chromopertubation in the assessment of tubal patency for the investigation of subfertilityen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0001-6349&volume=84&issue=9&spage=909&epage=913&date=2005&atitle=Comparison+of+three-dimensional+hysterosalpingo-contrast-sonography+and+diagnostic+laparoscopy+with+chromopertubation+in+the+assessment+of+tubal+patency+for+the+investigation+of+subfertilityen_HK
dc.identifier.emailNg, EHY:nghye@hkucc.hku.hken_HK
dc.identifier.emailChan, KKL:kklchan@hkucc.hku.hken_HK
dc.identifier.emailHo, PC:pcho@hku.hken_HK
dc.identifier.authorityNg, EHY=rp00426en_HK
dc.identifier.authorityChan, KKL=rp00499en_HK
dc.identifier.authorityHo, PC=rp00325en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.0001-6349.2005.00797.xen_HK
dc.identifier.pmid16097985-
dc.identifier.scopuseid_2-s2.0-24044502877en_HK
dc.identifier.hkuros100086en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-24044502877&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume84en_HK
dc.identifier.issue9en_HK
dc.identifier.spage909en_HK
dc.identifier.epage913en_HK
dc.identifier.isiWOS:000231152200016-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridChan, CCW=26643394500en_HK
dc.identifier.scopusauthoridNg, EHY=35238184300en_HK
dc.identifier.scopusauthoridTang, OS=36881248500en_HK
dc.identifier.scopusauthoridChan, KKL=8655666700en_HK
dc.identifier.scopusauthoridHo, PC=7402211440en_HK
dc.identifier.citeulike280075-

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