The Merits of Three-Dimensional Transvaginal Ultrasound in the Evaluation of Premenopausal Women with Abnormal Uterine Bleeding
نویسندگان
چکیده
Background/Aims: Endometrial thickening is a nonspecific finding in women with premenopausal bleeding. Though it is expected in the luteal phase of ovulatory cycle or with anovulatory bleeding, it can be due to hyperplasia, polyps, leiomyomas, or endometrial carcinoma. Three-dimensional ultrasonography is an imaging technique that allows unique ways of assessing uterine and adnexeal pathology. The objective of this study was to evaluate the effectiveness of three-dimensional transvaginal ultrasound in uterine cavity assessment in premenopausal women with abnormal uterine bleeding. Methods: This was a prospective single-blinded cohort study of ninety premenopausal women with abnormal uterine bleeding, referred over three years period to one-stop hysteroscopy clinic at Ain Shams University Hospitals in Cairo, Egypt. All women had three-dimensional transvaginal ultrasound, in their first half of their menstrual cycles, followed by outpatient hysteroscopy, performed by a different operator who was blinded to the sonographic findings. Analysis of data was performed using statistical terms sensitivity, specificity, positive predictive value, and negative predictive value. Results: In comparison to outpatient hysteroscopy in premenopausal women with abnormal uterine bleeding, the sensitivity of three-dimensional ultrasonogrphy to detect intrauterine pathology was 100%, specificity 91.7%, with positive predictive value of 97%, and negative predictive value of 100%. Conclusions: Three-dimensional transvaginal ultrasound can predict intra-uterine lesions as accurate as outpatient hysteroscopy in premenopausal women with abnormal uterine bleeding. *Corresponding Author: Mohamed Hosni, Ain Shams University Hospitals, Abbassia Square, Cairo, Egypt; E-mail: [email protected] Citation: Hosni, M.M., et al. The Merits of Three-Dimensional Transvaginal Ultrasound in the Evaluation of Premenopausal Women with Abnormal Uterine Bleeding. (2016) J Gynecol Neonatal Biol 3(2): 3943. J Gynecol Neonatal Biol | Volume 3: Issue 2 www.ommegaonline.org
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...
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