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Causes of misdiagnosis in assessing tubal patency by transvaginal real-time three-dimensional hysterosalpingo-contrast sonography.
Liang, Na; Wu, Qing-Qing; Li, Jing-Hua; Gao, Feng-Yun; Sun, Fu-Li; Guo, Cui-Xia.
Afiliação
  • Liang N; . Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital of Capital Medical University, Beijing 100026, China.
  • Wu QQ; . Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital of Capital Medical University, Beijing 100026, China.
  • Li JH; . Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital of Capital Medical University, Beijing 100026, China.
  • Gao FY; . Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital of Capital Medical University, Beijing 100026, China.
  • Sun FL; . Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital of Capital Medical University, Beijing 100026, China.
  • Guo CX; . Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital of Capital Medical University, Beijing 100026, China.
Rev Assoc Med Bras (1992) ; 65(8): 1055-1060, 2019 Sep 12.
Article em En | MEDLINE | ID: mdl-31531601
OBJECTIVE: This study aims to investigate the causes of misdiagnosis in assessing tubal patency by transvaginal real-time three-dimensional hysterosalpingo-contrast sonography (TVS RT-3D-HyCoSy), in order to improve the diagnostic efficiency of TVS RT-3D-HyCoSy. METHODS: A total of 162 oviducts of 83 infertility patients were examined by TVS RT-3D-HyCoSy. These results were compared with the gold standard for laparoscopic dye studies, and the misdiagnosed cases were analyzed. RESULTS: TVS RT-3D-HyCoSy revealed that 68 oviducts were unobstructed and 94 obstructed. The results for the 144 oviducts were in line with the gold standard, while those for 18 oviducts were not. The accuracy rate of the TVS RT-3D-HyCoSy was 88.9%, and the misdiagnosis rate was 11.1%. The main causes of misdiagnosis included contrast medium countercurrent and diffusion, oviduct spasm, abnormal shape or position of the oviduct, pelvic adhesion, and poor imaging operation. CONCLUSION: TVS RT-3D-HyCoSy can well-evaluate tubal patency, and understand and improve the cause of misdiagnosis. Furthermore, the diagnostic efficiency of TVS RT-3D-HyCoSy can still be further improved.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tubas Uterinas / Infertilidade Feminina Tipo de estudo: Diagnostic_studies / Etiology_studies / Risk_factors_studies Limite: Adult / Female / Humans / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tubas Uterinas / Infertilidade Feminina Tipo de estudo: Diagnostic_studies / Etiology_studies / Risk_factors_studies Limite: Adult / Female / Humans / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China País de publicação: Brasil