Combining B-mode ultrasound with pulsed wave Doppler for the assessment of tubal patency.
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Combining B-mode ultrasound with pulsed wave Doppler for the assessment of tubal patency. / Kleinkauf-Houcken, A; Hüneke, Bernd; Lindner, C; Braendle, W.
In: HUM REPROD, Vol. 12, No. 11, 11, 1997, p. 2457-2460.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Combining B-mode ultrasound with pulsed wave Doppler for the assessment of tubal patency.
AU - Kleinkauf-Houcken, A
AU - Hüneke, Bernd
AU - Lindner, C
AU - Braendle, W
PY - 1997
Y1 - 1997
N2 - This study was conducted to determine whether the additional use of pulsed wave Doppler improves the diagnostic capacity in assessing tubal patency by hysterosalpingo contrast sonography (HyCoSy). A total of 210 women with a history of infertility were included in this study. HyCoSy was performed after intrauterine injection of Echovist 200. For the assessment of tubal patency B-mode scanning and pulsed wave Doppler ultrasound were performed in the proximal and distal tubal segments. With the combined sonographic procedure 297 tubes (74%) were rated patent, 35 (8%) incompletely obstructed and 70 (18%) completely obstructed. A total of 252 tubes were additionally examined by laparoscopy for reference purposes. Concordant results for both methods were found in 92% of tubes, nine had been rated false negative and 10 tubes appeared to have been rated false positive. The combined sonographic specificity was found to be 85% with a sensitivity of 95%. Peritubal adhesions detected by laparoscopy were found to be the reason for false positive sonographic results in 60% of cases. In conclusion, the combined B-mode and pulsed wave Doppler examination appears to be a non-invasive and low-cost test for the assessment of tubal patency, which should be performed during diagnostic work-up for infertility.
AB - This study was conducted to determine whether the additional use of pulsed wave Doppler improves the diagnostic capacity in assessing tubal patency by hysterosalpingo contrast sonography (HyCoSy). A total of 210 women with a history of infertility were included in this study. HyCoSy was performed after intrauterine injection of Echovist 200. For the assessment of tubal patency B-mode scanning and pulsed wave Doppler ultrasound were performed in the proximal and distal tubal segments. With the combined sonographic procedure 297 tubes (74%) were rated patent, 35 (8%) incompletely obstructed and 70 (18%) completely obstructed. A total of 252 tubes were additionally examined by laparoscopy for reference purposes. Concordant results for both methods were found in 92% of tubes, nine had been rated false negative and 10 tubes appeared to have been rated false positive. The combined sonographic specificity was found to be 85% with a sensitivity of 95%. Peritubal adhesions detected by laparoscopy were found to be the reason for false positive sonographic results in 60% of cases. In conclusion, the combined B-mode and pulsed wave Doppler examination appears to be a non-invasive and low-cost test for the assessment of tubal patency, which should be performed during diagnostic work-up for infertility.
M3 - SCORING: Zeitschriftenaufsatz
VL - 12
SP - 2457
EP - 2460
JO - HUM REPROD
JF - HUM REPROD
SN - 0268-1161
IS - 11
M1 - 11
ER -