Abstract
Diagnosis of endometriosis is made by combined examinations, and no definite approach is recommended as yet. Preoperative HSG figures were analysed in cases of endometriosis which were histologically confirmed.
High voltage, new SS high sensitivity intensifying screen was employed for HSG to diminish exposure dosis. Four photographs were taken under television view;1) immediately after tubal snapshot, 2) immediately after certification of peritoneal figure 3) lateral view 4) 5 minutes after total injection of contrast medium. 43 cases of confirmed endometriosis were contrasted with 143 pregnant cases of infertile clinic on HSG of abovementioned four types.
Characteristic findings of endometriosis were obtained in running angle and morphology of tubal figures including lateral view, Douglas's cul-de-sac figures of lateral view and peritoneal figures. Besides, co-relations were detected between these HSG figures and clinical grades (Beecham) of endometriosis. These new approach seems to elevate the utility and clinical significance of HSG in the diagnosis of endometriosis.