Author/Editor		Vrtačnik-Bokal, Eda; Ban, Helena; Korošec, Sara
Title		Analiza laparoskopij pri obravnavanju neplodnega para
Translated title		Analysis of laparoscopies in the management of the infertile couple
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. Suppl 2
Publication year		2003
Volume		str. II-121-3
Language		slo
Abstract		Background. Hysterosalpingography (HSG) and diagnostic laparoscopy with chromopertubation are two widely used diagnosic methods to determine tubal function in infertile women. The diagnostic value of HSG and laparoscopy is still a matter for much debate. In the retrospective analyses we wanted to evaluate the HSG and laparoscopy as diagnostic and therapeutic procedure in the infertile patients. Materials and methods. Three hundreds and sixty two patients treated at University Department of Obstetry and Gynecology in Ljubljana because of infertility were analysed in the year 2000 and 2001. Laparoscopy was done in all 362 patients and HSG before the laparoscopy was done in 185 patients. Results. The laparoscopy was done in 215 patients because of primary sterility and in 147 patients because of secondary sterility. The patology was found in 79% of the patients (myomas in 8%, polycystic ovaries (PCO) in 19%, endometriosis in 27% tubo-ovarian adhesions in 46%). Considering the tubal factor of infertility sensitivity of HSG was 68% specificity 52%, PPV 55% and NPV 64%. Conclusions. Considering the results we found the laparoscopy as diagnostic and therapeutic method in infertile patients very useful and important and HSG as a method of limited value.
Summary		Izhodišča. Histerosalpingografija (HSG) in laparoskopija s kromopertubacijo sta dve pogosto uporabljeni diagnostični metodi za ocenjevanje tubarne funkcije pri neplodnih ženskah. Diagnostična vrednost HSG in laparoskopije je še vedno predmet številnih razpravljanj. V naši retrospektivni analizi smo želeli oceniti vrednost HSG in laparoskopije v smislu diagnostičnega in terapevtskega postopka pri obravnavanju neplodnega para. Material in metode. Analizirali smo 362 žensk, ki so bile obravnavane na Ginekološki kliniki v Ljubljani v letih 2000 in 2001 zaradi neplodnosti. Laparoskopija je bila opravljena pri vseh 362 ženskah, HSG pred laparoskopijo pa je bila opravljena pri 185 ženskah. Rezultati. Pri 215 ženskah je bila napravljena laparoskopija zaradi primarne neplodnoti in pri 147 ženskah zaradi sekundarne neplodnosti. Patološki izvid je bil prisoten pri 79% žensk (pri 8% miomi, pri 29% policistični ovariji (PCO), pri 27% endometrioza in pri 46% tubo-ovarijske adhezije). Gdede na tubarni dejavnik neplodnosti je bila občutljivost HSG v primerjavi z laparoskopijo 0,68, specifičnost 0,52, pozitivna napovedna vrednost 0,55 in negativna napovedna vrednost 0,64. Zaključki. Lahko zaključimo, da je laparoskopija pri obravnavanju neplodnih parov koristna diagnostična in terapevtska metoda, medtem ko ima metoda HSG omejeno vrednost.
Descriptors		INFERTILITY, FEMALE LAPAROSCOPY SENSITIVITY AND SPECIFICITY ENDOMETRIOSIS