Journal of Ultrasound in Medicine, Vol 16, Issue 6 381-384, Copyright © 1997 by American Institute of Ultrasound in Medicine
Sonohysterography combined with sonosalpingography: correlation with endoscopic findings in infertility patients
A. C. Fleischer, J. M. Vasquez, J. A. Cullinan and E. Eisenberg
Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN 37232-2675, USA.
The diagnostic accuracy of sonohysterography combined with
sonosalpingography or sonohysterosalpingography was evaluated in 100
infertility patients who also underwent endoscopic (hysteroscopy with or
without laparoscopy) procedures. In patients with normal endometrial biopsy
results, single endometrial layer thickness ranged from 3 to 5 mm and
varied up to 2 mm in some areas. Diagnostic accuracy was 98% for submucosal
fibroids, 96% for polyps, and 81% for synechiae. Missed lesions, were less
than 2 mm in diameter. Tubal patency was successfully assessed in 79% of
women with saline solution and in 92% of those who received contrast agent.
This study demonstrates the efficacy of the combined use of SHG and SSG in
infertility patients with uterine or tubal factor disorders.
