Diagnostic Laparoscopy in Infertile Patients.
- Author:
Jae Ik KIM
1
;
Jung Hyung YANG
;
Byoung Won KIM
;
Sung Hee SIN
;
Dae Hwa KIM
;
kwang Soo KEE
;
Hun Jung IM
Author Information
1. Department of Obstetrics and Gynecology, Kwangju Christian hospital, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
Hysterosalpingography;
Diagnostic;
laparoscopy;
Infertility
- MeSH:
Diagnosis;
Female;
Fibrinogen;
Gwangju;
Humans;
Hysterosalpingography;
Infertility;
Infertility, Female;
Laparoscopy*
- From:Korean Journal of Obstetrics and Gynecology
1997;40(10):2187-2194
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
One hundred and forty-nine infertile women underwent hysterosalpingography and di-agnostic laparoscopy as a part of their infertility work up at the Kwangju Christian Hospi-tal. The diagnostic value of hysterosalpingography was compared with diagnostic laparos- copy. It was found that hysterosalpingography is a sensitive means to determine tubal pat- ency. However, diagnostic laparoscopy revealed peritubal adhesion in 25.5% of patients, wh- ereas hysterosalpingography made an accurate diagnosis in only 10.5%. And in 61.7% of the cases, there was complete agreement between hysterosalpingogr- aphy and diagnostic laparoscopy. It is concluded that hysterosalpingography is a simple and non-invasive and useful method of assessing the tubal patency, and should remain an integral part of female infert- ility investigation. Diagnostic laparoscopy is a more useful method to evaluate pelvic patho- logy than hysterosalpingography, and thus should always be performed whenever a periton- eal factor is suspected in female infertility.
