Transvaginal ultrasonography and hysteronography in the diagnosis of endometrial pathologies
DOI:
https://doi.org/10.51481/amc.v43i4.77Keywords:
sonohisterografía, histerosonografía, endometrio, ultrasonido transvaginal, pólipos endometriales, miomas intrauterinos, hiperplasia endometrial, postmenopausia, hiperplasia endometrial, postmenopausiaAbstract
Justification and objectives: In spite than in the last years the vaginal ultrasound has become a powerful tool in the evaluation of patients with abnormal uterine bleeding, it has shown some limitations for the diagnosis of endometrial pathology.
Intracavitary saline infusion during the ultrasonographic procedure, has shown to be a more sensitive method.
Our main objective was to compare the sensitivity and specificity of the vaginal ultrasound versus the histerosonography in
the diagnosis of various endometrial pathologies.
Methodology: In this study, 36 patients with the diagnosis of abnormal uterine bleeding were selected consecutively as they were refered for vaginal ultrasound.
All of them had vaginal ultrasound and then histerosonography, comparing the results with the histologic diagnosis as the "" gold stándar"".
Results: Thirty eight percent had normal endometrium 30% had endometrial polyp, 30% had
endometrial hyperplasia, 19% intramural myomas and/or adenomyosis, and submucus myomas were found in 7.6% of the patients.
The sensitivity and specificity for the vaginal ultrasound was 42.8% and 91.6% and for the histerosonography were 92.8% y 100% respectively.
We conclude that histerosonography was more precise in the diagnosis of endometrial pathology in patients with abnormal uterine bleeding.
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References
Cullinan JA, Fleischer AC, Kepple DM, et al: Sonohysterography: A techninque for endometrial evaluation. Radigraphics 1995; 15: 501514.
Nannini R, Chelo E, Branconi F, et al: Dynamic echohysteroscopy: A new diagnostic technique in the study of female infertility. Acta Eur Fertil 1981; 12: 165171.
Randolph JR, Ying YK, Maier DB, et al. Comparison of realtime ultrasonography, hysterosalpingraphy, and laparoscopy/hysteroscopy in evaluation of uterine abnormalities and tubal patency. Fertil Steril
; 46: 828832.
Parsons AK, Lense JJ. Sonography for endometrial abnormalities: Preliminary results. J Clin Ultrasound 1993; 231: 8795.
Goldstein SR, Zeltser I, Horan CK, et al. Ultrasonographybased triage for perimenopausal patiens with abnormal uterine bleeding. Am J Obstet Gynecol 1997; 177: 102108.
Granberg S, Wikland M, Karlsson B, et al. Endometrial thickness as measured by endovaginal ultrasonography for identifying endometrial abnormality. Am J Obstet Gynecol 1991; 64: 4752.
Kupfer M, Schiller V, Hansen G, et al. Transvaginal sonographic evaluation of endometrial polyps. J Ultrasound Med 1994; 13: 535539.
Shimizu B, Fukuda K, Yomura W, et al. Transvaginal hysterosonography for differential diagnosis between submucous and intramural myoma. Gynecol Obstet Invest 1993; 35: 236239.
Cacciatore B, Ramsay T, Lehtovirta P, et al. Transvaginal sonography and hysteroscopy in postmenopausal bleeding. Acta obstet Gynecol Scand 1994; 73: 413416.
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