Value of Hysterosalpingography in Diagnosis of Fallopian Tube Pathology among Infertile Women

【Objective】To evaluate the diagnostic accuracy of hysterosalpingography(HSG) in the diagnosis of fallopian tube pathology among infertile women.【Methods】A total of 288 infertile women were examined by HSG before they underwent laparoscopy.Tube pathology detected at HSG was compared with pathology detected at laparoscopy.Sensitivity,specificity,and Youden index of HSG in the diagnosis of tube pathology were calculated,regarding laparoscopy as the reference standard.【Results】The sensitivity of 94.69% and specificity of 41.96% for HSG while evaluating general tubal patency was determined.The sensitivity and specificity of HSG in diagnosis of proximal tubal occlusion were 92.60% and 74.71%.The sensitivity and specificity of HSG in diagnosis of hydrosalpinx were 82.18% and 91.98%.As a test of peritubal adhesions,hysterosalpingography had sensitivity of 23.07% and specificity of 75.54%,respectively.When definition of tubal occlusion was limited to two-sided,the sensitivity and specificity were 60.66% and 82.83%,respectively.【Conclusion】 The diagnostic value of hysterosalpingography in the diagnosis of peritubal adhesions is poor.Hysterosalpingography is more accurate in the diagnosis of tubal occlusion and hydrosalpinx.