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| Diagnostic efficiency and adverse reactions of 4D-HyCoSy for tubal obstruction |
| Shangqiu Clinical College, Xuzhou Medical University, Henan Province, 476000 |
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Abstract To compare the diagnostic efficiency and adverse reactions of 4D-HyCoSy and laparoscopic tubal catheterization for tubal obstructive lesions. Methods: The clinical data of 165 infertility women who had accepted 4D-HyCoSy and laparoscopic tubal catheterization within 3 months due to the needs of diagnosis and treatment from January 2017 to January 2020 were collected retrospectively. Laparoscopic tubal catheterization was as golden standard. The diagnostic efficiency and adverse reactions of 4D-HyCoSy and laparoscopic tubal catheterization for tubal obstruction were analyzed by Bowker test and square table segmentation, and Kappa test. Results: The efficacy of 4D-hycosy for diagnosing the women with tubal obstruction and with the consistent bilateral tubal patency was significant higher than that of laparoscopic tubal catheterization (Kappa=0.786), while the efficacy of 4D-hycosy for diagnosing the women with tubal obstruction and with the inconsistent bilateral tubal patency was different from that of laparoscopic tubal catheterization, especially for diagnosing "patency/obstruction" and "obstruction/obstruction", and the efficacy of 4D-hycosy was significant lower (P<0.05). The rate of adverse reactions, such as severe pain caused by 4D-hycosy was 5.5%, which was significant lower than that (12.1%) of caused by laparoscopic tubal catheterization (P<0.05). Conclusion: Compared with that of the diagnostic gold standard, 4D-hycosy has a higher diagnostic efficiency for tubal obstructive lesions with less adverse reactions. However, the diagnostic efficiency of 4D-hycosy is slightly lower for the women with inconsistent bilateral tubal patency. Therefore, the diagnostic accuracy should be further enhanced by combined other diagnostic methods.
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