불임증 환자에서 자궁난관조영술 및 복강경검사소견의 비교 관찰

Abstract

Evaluation of tubal factor is an important step in the investigation of infertility. A comparative work up of hysterosalpingography and laparoscopy in the investigation of infertility is presented. From July, 1983 to July, 1984. Laparoscopy with dye instillation test was performed in 53 patients previously investigated by hysterosalpingography. The results were as follows: 1. Age distribution showed the peak at 26~30 years old group in primary infertility group and at 26~30 years old group secondary infertility, cases of which were 52.4%(11 cases) and 53.1% (17 cases) respectively. 2. The duration infertility, under 4 yeary was 61.9% in primary infertility and 62.5% in secondary infertility. The 5~8 years was 33.3% in primary infertility and 25.0% in secondary infertility. 3. As for tubal patency and site of tubal occlusion, findings of the laparoscopy and H.S.G. agreed with each other (66.0%). 4. As for tubal occlusion and/or peritubal adhesion, the use of laparoscopy was superior to H.S.G. 5. As for the factor other than tubal occlusion and/or peritubal adhesion, pelvic and ovarian disease were easily detectable by laparoscoypy, whereas intrauterine factors were easily detectable by H.S.G. 6. H.S.G. showed false positive results in 2 cases(4.4%) and false negative results in 3 cases(37.5%).