Sonohysterography: a prospective survey of results and complications in 81 patients

被引:34
作者
Bonnamy, L [1 ]
Marret, H [1 ]
Perrotin, F [1 ]
Body, G [1 ]
Berger, C [1 ]
Lansac, J [1 ]
机构
[1] Univ Hosp Tours, Dept Obstet Gynaecol Fetal & Reprod Med, Hop Bretonneau, F-37044 Tours 1, France
关键词
sonohysterography; intrauterine abnormalities; sensitivity and specificity; transvaginal ultrasound;
D O I
10.1016/S0301-2115(01)00567-X
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Ptrpose: To evaluate the sonohysterography (SHG) for the diagnosis of intrauterine abnormalities and describe complications and failure rate. Study design: A prospective survey on 81 patients, (44 patients with menometrorrhagia, 30 with postmenopausal bleeding and 7 with infertility) was conducted, Histopathology and clinical survey, if sonohysterography was normal, were the gold standards. Results: Pathology has been performed in 55 cases. There were four failures (cervical stenosis). one severe complication (endometritis), one pelvic pain. Sensitivity and specificity of sonography were 56 and 83% for sonohysterography 88 and 98% and for hysteroscopy 78 and 97%. Sonohysterography was accurate for the diagnosis of the submucous myoma component. Conclusion: Sonohysterography is available in uterine pathology. easy. safe and cheap. but sonographists and patients should be informed of the little risks of such examination technique. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:42 / 47
页数:6
相关论文
共 19 条
[1]   The value of sonohysterography combined with cytological analysis of the fluid retrieved from the endometrial cavity in predicting histological diagnosis [J].
Aviram, R ;
Michaeli, G ;
Lew, S ;
Fishman, A ;
Beyth, Y ;
Bernheim, J ;
Tepper, R .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 1999, 14 (01) :58-63
[2]  
BERNARD JP, 1998, J GYNECOL OBST BIO R, V27, P267
[3]   The value of transvaginal sonography with and without saline instillation in the diagnosis of uterine pathology in pre- and postmenopausal women with abnormal bleeding or suspect sonographic findings [J].
Bronz, L ;
Suter, T ;
Rusca, T .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 1997, 9 (01) :53-58
[4]   Sonohysterography in premenopausal women with and without abnormal bleeding [J].
Clevenger-Hoeft, M ;
Syrop, CH ;
Stovall, DW ;
Van Voorhis, BJ .
OBSTETRICS AND GYNECOLOGY, 1999, 94 (04) :516-520
[5]   The accuracy of transvaginal ultrasonography in the diagnosis of endometrial abnormalities [J].
Dijkhuizen, FPHLJ ;
Brolmann, HAM ;
Potters, AE ;
Bongers, MY ;
Heintz, APM .
OBSTETRICS AND GYNECOLOGY, 1996, 87 (03) :345-349
[6]  
DUBINSKY TJ, 1995, J ULTRAS MED, V14, P887
[7]   SONOHYSTEROGRAPHY OF THE UTERINE CAVITY - PRELIMINARY INVESTIGATIONS [J].
GAUCHERAND, P ;
PIACENZA, JM ;
SALLE, B ;
RUDIGOZ, RC .
JOURNAL OF CLINICAL ULTRASOUND, 1995, 23 (06) :339-348
[8]   A COMPARATIVE-STUDY BETWEEN PANORAMIC HYSTEROSCOPY WITH DIRECTED BIOPSIES AND DILATATION AND CURETTAGE - A REVIEW OF 276 CASES [J].
GIMPELSON, RJ ;
RAPPOLD, HO .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1988, 158 (03) :489-492
[9]   USE OF ULTRASONOHYSTEROGRAPHY FOR TRIAGE OF PERIMENOPAUSAL PATIENTS WITH UNEXPLAINED UTERINE BLEEDING [J].
GOLDSTEIN, SR .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1994, 170 (02) :565-570
[10]   Value of sonohysterography in the diagnosis and management of abnormal uterine bleeding [J].
LevToaff, AS ;
Toaff, ME ;
Liu, JB ;
Merton, DA ;
Goldberg, BB .
RADIOLOGY, 1996, 201 (01) :179-184