A Comparative Observational Study of the Use Transvaginal Ultrasound and Hysteroscopy for the Detection of Uterine Cavity Pathologies in Women with Abnormal Uterine Bleeding
نویسنده
چکیده
Background: 70% of all gynecological consultations are for abnormal uterine bleeding. Any approach to optimal management begins with an appropriate diagnosis. 40% of premenopausal women with abnormal uterine bleeding were found to have some intrauterine pathology. This study aims to compare the diagnostic value of transvaginal ultrasonography in comparison to hysteroscopy in detecting uterine abnormalities in patients with abnormal uterine bleeding. Methods: Retrospective observational cross sectional study of 250 women presented with abnormal uterine bleeding. The patients who fulfilled the selection criteria and have been sequentially investigated by transvaginal ultrasound (TVS) and hysteroscopy were included. Results: 90% of patients were from 35 49 yrs. 81.2% of patients have body mass index above 25 kg/m. Transvaginal ultrasound (TVS) compared well with high sensitivity as regards normal endometrium. (TVS) missed 4 patients of endometrial polyps and one patient of sub mucous fibroid. Three patients of adenomyosis were only diagnosed by (TVS); they were reported as being normal by hysteroscopy. Conclusion: (TVS) is considered as an excellent approach to the initial evaluation of uterine pathologies in patients with abnormal uterine bleeding.
منابع مشابه
Assessment of transvaginal ultrasonography accuracy in the diagnosis of uterine pathologies in women with abnormal uterine bleeding
Abstract Background: The most common causes of abnormal uterine bleeding in women of reproductive age are uterine structural abnormalities. There are several modalities for the examination of abnormal uterine bleeding, including transvaginal ultrasound and hysteroscopy. In this study, we aimed to investigate the diagnostic accuracy of hysteroscopy versus transvaginal ultrasound in the diagnosis...
متن کاملOffice Hysteroscopy in Patients with Abnormal Uterine Bleeding and Normal Transvaginal Sonography
Background Abnormal uterine bleeding (AUB) is one of the most common clinical problems in gynecology. Transvaginal sonography (TVS) and hysteroscopy are two diagnostic methods for patients with AUB. For most of the patients with AUB, diagnostic hysteroscopy can be done in clinic with minimal discomfort and much lower expense than operative room. MaterialsAndMethods In our clinical trial study, ...
متن کاملPnm-1: Applications of Hysterosonography for The Detection of Intracavitary Uterine Abnormalities
Hysterosonography (SHG) is a new noninvasive technique that involves the slow infusion of sterile saline solution into the uterus during ultrasound imaging. Expansion of endometrial cavity by SHG allows optimal visualization and plays an important role in the evaluation of abnormalities related to the uterus. The most common indications for hysterosonography are: abnormal uterine bleeding both ...
متن کاملComparison of Office Hysteroscopy, Transvaginal Ultrasonography and Endometrial Biopsy in Evaluation of Abnormal Uterine Bleeding
OBJECTIVE A comparison between office hysteroscopy, transvaginal ultrasonography and endometrial biopsy was performed, in terms of detection of intrauterine lesions. A secondary objective was assessment of evaluatory approach in the management of abnormal uterine bleeding in an outpatient setting. DESIGN Prospective observational study. MATERIAL AND METHODS A total of 54 women were evaluate...
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Background: AUB is a common cause of women’s referring to gynecologists. Although hysteroscopy is known as the gold standard technique for diagnosing the cause of AUB, sonohysterography is less invasive, and it is performed by general gynecologists. The purpose of this study was to evaluate the diagnostic performance of sonohysterography compared to the results of the endometrial biopsy, guid...
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