Should a hysterosalpingogram be a first-line investigation to diagnose female tubal subfertility in the modern subfertility workup?

被引：47

作者：

Chou Phay Lim ^{[2
]}

Hasafa, Zaid ^{[2
]}

Bhattacharya, S. ^{[3
]}

Maheshwari, A. ^{[1
]}

机构：

[1] Univ Aberdeen, Div Appl Hlth Sci, Aberdeen Matern Hosp, Aberdeen AB25 2ZL, Scotland

[2] Aberdeen Matern Hosp, NHS Grampian, Aberdeen AB25 2ZL, Scotland

[3] Univ Aberdeen, Sch Med, Div Appl Hlth Sci, Aberdeen AB25 2ZD, Scotland

来源：

HUMAN REPRODUCTION | 2011年 / 26卷 / 05期

关键词：

tubal patency test; hysterosalpingogram; hysterosalpingo contrast sonography; Chlamydia antibody titre; infertility; CONTRAST SONOGRAPHY HYCOSY; INFERTILE WOMEN; TRANSVAGINAL SALPINGOSONOGRAPHY; CHLAMYDIAL ANTIBODIES; CLINICAL-TRIAL; PATENCY; OIL; MEDIA; COMPLICATIONS; METAANALYSIS;

D O I：

10.1093/humrep/der046

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Tubal assessment is an integral part of female fertility evaluation. While diagnostic laparoscopy is gold standard, it is not suitable to be used as a screening test. Hysterosalpingogram (HSG) has been advocated as first-line investigation historically. With advances in diagnostics, more tests are available, such as hysterosalpingo contrast sonography (HyCoSy) and Chlamydia antibody titre (CAT) are available. The CAT test is much cheaper, less invasive and can be performed at any time during the cycle. The CAT test can also be used as a means of identifying which patients need further evaluation. HyCoSy has same diagnostic accuracy as HSG, without exposing women to radiation. We argue that HSG is out of date and has no place in a modern infertility evaluation. We also suggest a pathway (based on history, clinical and ultrasound evaluation) for investigations to screen for and diagnose tubal pathology.

引用

页码：967 / 971

页数：5

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