Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1394
10
1
gregorian
2016
1
1
30
1
online
1
fulltext
en
Can combination of hysterosalpingography and ultrasound replace hysteroscopy in diagnosis of uterine malformations in infertile women?
Gynecology & Obstetrics
Gynecology & Obstetrics
Original Research
Original Research
<p dir="ltr" style="text-align: justify;"><strong>Background: </strong>Müllerian anomalies are associated with infertility. Hysteroscopy as the gold standard for evaluating Müllerian anomalies is an invasive, expensive and risky procedure which requires enough experience. Transvaginal sonography (TVS) and hysterosalpingography (HSG) are less invasive procedures, but there is little known about the accuracy of these tests. The aim of this study was to evaluate the accuracy of the combination of TVS and HSG with hysteroscopy as the gold standard.</p>
<p dir="ltr" style="text-align: justify;"><strong> Methods</strong>: Medical records of infertile women who were undertaken all three diagnostic modalities were reviewed to analyze their sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV).</p>
<p dir="ltr" style="text-align: justify;"><strong> Results</strong>: Ninety-nine infertile women were assessed with a mean±SD age of 29.1±6.47 years, mean±SD duration of themarriage of 8.9±10.28 years, and mean±SD duration of infertility of 5.6± 4.16 years. The sensitivity, specificity, PPV, and NPV of TVS were 98.55%, 30%, 76.4%, and 90%, respectively. HSG had a sensitivity of 95.6%, specificity of 60%, PPV of 84.62%, and NPV of 85.71%.When both modalities were combined, the sensitivity, specificity, PPV, and NPV were 94.2, 66.67, 86.67, and 83.33%, respectively. The diagnostic accuracy of single TVS, HSG or combined techniques was statistically similar that was equal to 77.7, 84.8 and 85.8 % respectively.</p>
<p dir="ltr" style="text-align: justify;"><strong> Conclusion</strong>: The accuracy of combination of two diagnostic modalities, 2D TVS and HSG is not higher than HSG alone for assessing uterine malformation in infertile women.</p>
Ultrasound, Hysterosalpingography, Hysteroscopy, Müllerian anomaly, Accuracy, Infertility.
364
367
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-984&slc_lang=en&sid=1
Mansoureh
Vahdat
mansoureh_vahdat@yahoo.com
200319475328460021947
200319475328460021947
No
Department of Obstetrics and Gynecology, Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Elaheh
Sariri
drelaheh_sariri@yahoo.com
200319475328460021948
200319475328460021948
No
Department of Obstetrics and Gynecology, Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Maryam
Kashanian
maryamkashanian@yahoo.com
200319475328460021949
200319475328460021949
No
Department of Obstetrics and Gynecology, Iran University of Medical Sciences, Tehran, Iran.
Zahra
Najmi
zahranaj@yahoo.com
200319475328460021950
200319475328460021950
Yes
Department of Obstetrics and Gynecology, Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Alireza
Mobasseri
dr.mobasseri@yahoo.com
200319475328460021951
200319475328460021951
No
Department of Obstetrics and Gynecology, Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Mahjabin
Marashi
drmahjabin@yahoo.com
200319475328460021952
200319475328460021952
No
Department of Obstetrics and Gynecology, Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Behnaz
Mohabbatian
dr.mohabatian@gmail.com
200319475328460021953
200319475328460021953
No
Department of Obstetrics and Gynecology, Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Shideh
Ariana
shideh.ryn@yahoo.com
200319475328460021954
200319475328460021954
No
Department of Obstetrics and Gynecology, Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Yousef
Moradi
yousefmoradi211@yahoo.com
200319475328460021955
200319475328460021955
No
Pars Advanced Minimally Invasive Manners Research Center, Iran University of Medical Sciences, Tehran, Iran.