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Assessment of Tubal Patency by Transvaginal Sonographic Hydrotubation with Color Doppler Flow
Author(s) -
Taechakraichaimit,
Wisawasukmongchol Wirach,
Uerpairojkij Boonchai,
Suwajanakorn Somchai,
Limpaphayom Kobchitt,
Phaosawasdi Sukhit
Publication year - 1996
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.1996.tb01060.x
Subject(s) - medicine , predictive value , ultrasound , laparoscopy , infertility , prospective cohort study , color doppler , tubal occlusion , radiology , uterine cavity , occlusion , gynecology , surgery , ultrasonography , uterus , pregnancy , research methodology , population , environmental health , biology , family planning , genetics
Objective : To assess the value of transvaginal sonographic hydrotubation with color Doppler flow (TSH) as a test of tubal patency. Methods : Thirty‐nine women undergoing infertility investigation at Chulalongkorn Hospital participated in this prospective, blind comparative study. Before diagnostic laparoscopy (DL) with chromopertubation, TSH was performed using the SSD 680, 5 MHz vaginal ultrasound probe and 20–50 m l of saline was injected into the uterine cavity. Results : Nine cases could not be evaluated properly. Of the 30 cases, there were complete agreements between TSH and DL in 24 (80%), partial agreement in 5 (16.67%) and non‐agreement in 1 (3.33%). TSH had sensitivity 100%; specificity 84.62%, positive predictive value 50%, negative predictive value 100%, false positive rate 15.38%, but no false negative rate. Conclusion : TSH is a simple diagnostic procedure for screening of tubal patency. However, other confirmatory test is needed if tubal occlusion is suspected.