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Routine use of hysterosalpingography prior to laparoscopy in the fertility workup: a multicentre randomized controlled trial.

机译:宫腔镜检查在腹腔镜检查之前的常规使用在生育检查中:一项多中心随机对照试验。

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BACKGROUND: A multicentre randomized controlled trial with or without hysterosalpingography (HSG) was conducted to assess the usefulness of HSG as a routine investigation in the fertility workup prior to laparoscopy and dye. METHODS: From 1 April 1997 to 1 April 2002, subfertile women were allocated by a computer-based 1 : 1 ratio randomization procedure, either for an HSG followed by laparoscopy and dye (the intervention group) of for laparoscopy and dye only (the control group) as a part of their fertility workup. Cumulative pregnancy rate (CPR) within 18 months after randomization was the primary outcome of interest. RESULTS: 344 women were randomized to the intervention group (n = 169) and the control group (n = 175). There was no significant difference in CPR at 18 months in the intervention group (49.1%) [95% confidence interval (CI) 41.6 to 56.6] and the control group (50.3%) (95% CI 42.8 to 57.8), a difference of -1.2% (95% CI -11.8% to 9.5%). CONCLUSION: The routine use of HSG at an early stage in the fertility workup prior to laparoscopy and dye does not influence CPR, compared with the routine use of laparoscopy and dye without HSG.
机译:背景:进行或不使用子宫输卵管造影术(HSG)的多中心随机对照试验,以评估HSG作为腹腔镜检查和染色前的生育力检查常规研究的有效性。方法:从1997年4月1日至2002年4月1日,以计算机为基础的1:1比例随机分配分配给不育女性的方法是,先进行HSG,然后进行腹腔镜检查和染色(干预组),然后进行腹腔镜检查和染色(对照组)。组)作为其生育能力检查的一部分。主要的结果是随机分组后18个月内的累积妊娠率(CPR)。结果:344名妇女被随机分为干预组(n = 169)和对照组(n = 175)。干预组(49.1%)[95%置信区间(CI)41.6至56.6]和对照组(50.3%)(95%CI 42.8至57.8)在18个月时的CPR没有显着差异。 -1.2%(95%CI -11.8%至9.5%)。结论:与不使用HSG的腹腔镜检查和染料的常规使用相比,在腹腔镜检查和染剂之前的生育力检查的早期阶段常规使用HSG不会影响CPR。

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