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Non invasive tools (HSG‐USG)
• 30‐35% false negative* • 15% false positive*
• Compared with laparoscopy
Kappa score*= 0,3 (except for hydrosalpinx =0,6)
*Swart P. Mol BW ,Van Beurden M et al. The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta‐analysis. Fertil. Steril. 1995,64, 486‐491.
=EBM level Ia
**Kappa score: considered as good when above 0,75
scoring of diagnostic tools 0=no value, 5=very good value
Tubal patency
Uterine cavity
Tubo‐ peritoneal environmen t
Tubal mucosa
HSG (1)
4
4
1
2
USG (2)
4
4
1
0
TOTAL
11
9
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PRECONGRESS COURSE 09 I BARCELONA, SPAIN – 1 JULY 2018 141