{"title":"Efficacy of 4-dimensional hysterosalpingo-contrast sonography and X-ray hysterosalpingography in infertility.","authors":"Meili Wu, Xue Gu, Juan Hao, Ruichao Miao","doi":"10.12669/pjms.41.1.10743","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To assess and compare efficacy of 4-dimensional hysterosalpingo-contrast sonography (4D-HyCoSy) and X-ray hysterosalpingography (HSG) for fallopian tube examination.</p><p><strong>Methods: </strong>Clinical data of patients with suspected tubal infertility, who underwent examinations in Qingdao Women and Children's Hospital from September 2021 to December 2023, were retrospectively analyzed. Of them, 40 patients received laparoscopy and dye test+ 4D-HyCoSy (4D-HyCoSy group), and 36 patients received laparoscopy and dye test +HSG (HSG group).</p><p><strong>Results: </strong>The study included clinical data of 76 patients with a total of 149 fallopian tubes. Using laparoscopy and dye test observations as the gold standard, 4D-HyCoSy and X-HSG examinations identified 39 blocked tubes, 69 tubes with partial patency, and 41 tubes with patency. Compared with laparoscopy and dye test, the diagnostic concordance rate of 4D-HyCoSy was 70.51% (55/78), Kappa=0.546 (<i>P</i><0.05); and the diagnostic concordance rate of HSG was 69.01% (49/71), Kappa=0.516 (<i>P</i><0.05). Sensitivity, specificity, and accuracy of the diagnosis of obstruction, partial patency, and patency were comparable in the two groups (<i>P</i>>0.05). The incidence of pain and adverse reactions were significantly lower in the 4D-HyCoSy group compared to the HSG group (<i>P</i><0.05).</p><p><strong>Conclusions: </strong>While both 4D-HyCoSy and HSG have high efficacy in fallopian tube examination, and are similarly accurate in evaluating tubal blockage, 4D-HyCoSy is associated with lower incidence of pain, and reduced rate of adverse reactions.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 1","pages":"151-156"},"PeriodicalIF":1.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755322/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pakistan Journal of Medical Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12669/pjms.41.1.10743","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To assess and compare efficacy of 4-dimensional hysterosalpingo-contrast sonography (4D-HyCoSy) and X-ray hysterosalpingography (HSG) for fallopian tube examination.
Methods: Clinical data of patients with suspected tubal infertility, who underwent examinations in Qingdao Women and Children's Hospital from September 2021 to December 2023, were retrospectively analyzed. Of them, 40 patients received laparoscopy and dye test+ 4D-HyCoSy (4D-HyCoSy group), and 36 patients received laparoscopy and dye test +HSG (HSG group).
Results: The study included clinical data of 76 patients with a total of 149 fallopian tubes. Using laparoscopy and dye test observations as the gold standard, 4D-HyCoSy and X-HSG examinations identified 39 blocked tubes, 69 tubes with partial patency, and 41 tubes with patency. Compared with laparoscopy and dye test, the diagnostic concordance rate of 4D-HyCoSy was 70.51% (55/78), Kappa=0.546 (P<0.05); and the diagnostic concordance rate of HSG was 69.01% (49/71), Kappa=0.516 (P<0.05). Sensitivity, specificity, and accuracy of the diagnosis of obstruction, partial patency, and patency were comparable in the two groups (P>0.05). The incidence of pain and adverse reactions were significantly lower in the 4D-HyCoSy group compared to the HSG group (P<0.05).
Conclusions: While both 4D-HyCoSy and HSG have high efficacy in fallopian tube examination, and are similarly accurate in evaluating tubal blockage, 4D-HyCoSy is associated with lower incidence of pain, and reduced rate of adverse reactions.
期刊介绍：
It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad.
Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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