The value of sonohysterography in detecting intracavitary benign abnormalities

被引：35

作者：

Valenzano M.M. ^{[1
]}

Lijoi D. ^{[1
]}

Mistrangelo E. ^{[1
,2
]}

Fortunato T. ^{[1
]}

Costantini S. ^{[1
]}

Ragni N. ^{[1
]}

机构：

[1] Department of Obstetrics and Gynaecology, Genova University, Genova

[2] Dipartimento di Ginecologia Padiglione 1, Ospedale San Martino, 16132, Genova, Largo R. Benzi

来源：

Archives of Gynecology and Obstetrics | 2005年 / 272卷 / 4期

关键词：

Endometrial polyps; Sonohysterography; Submucosal myomas; Transvaginal ultrasonography; Uterine bleeding;

D O I：

10.1007/s00404-005-0016-z

中图分类号：

学科分类号：

摘要：

The aim of this retrospective study was to assess the diagnostic value and the usefulness of sonohysterography in the detection of uterine intracavitary benign abnormalities, compared with other diagnostic methods (transvaginal ultrasonography and diagnostic hysteroscopy). From January 2003 to December 2003, a total of 73 patients (47 premenopausal (middle age 38.9) and 26 postmenopausal women (middle age 60.5)) underwent transvaginal ultrasonography (TVS) and sonohysterography (SHG), consisting of an intrauterine infusion of saline solution during transvaginal ultrasound. The women referred to our Ultrasonography Center because of intermenstrual (38) or postmenopausal bleeding (19), or an abnormal or a poorly defined endometrial interface (16) as seen as baseline ultrasonography. The findings at TVS and SHG were compared with hysteroscopy (HS). In one case, the SHG was technically impossible to perform. In premenopausal group the sensitivity of SHG had been 100% in detecting submucosal fibroids, endometrial polyps and hyperplasia and 75% in detecting normal uterus. The specificity had been always 100%. In postmenopausal group the sensitivity of SHG had been 75% in detecting submucosal fibroids, 93.8% in endometrial polyps and 100% in hyperplasia and normal uterus. The specificity had been 100% in submucosal fibroids and hyperplasia and had been 90.0 and 95.5% in endometrial polyps and normal uterus, respectively. SHG allows to obtain a precise diagnosis of benign uterine pathology and it is more accurate in the diagnosis of intracavitary abnormalities than that obtained by TVS. Preoperative use of SHG may assist in choosing the best surgical treatment for the patient. © Springer-Verlag 2005.

引用

页码：265 / 268

页数：3

共 14 条

[1]

Reslova T., Tosner J., Resl M., Kugler R., Vavrova I., Endometrial Polyps. A clinical study of 245 cases, Arch Gynecol Obstet, 262, pp. 133-139, (1999)

[2]

Goldstein S.R., Zellster I., Horan C.K., Snyder J.R., Schwartz L.B., Ultrasonography-based triage for perimenopausal patients with abnormal uterine bleeding, Am J Obstet Gynecol, 177, pp. 102-108, (1997)

[3]

Fleisher A.C., Gordon A.N., Entman S.S., Transabdominal and transvaginal sonography of pelvic masses, Ultrasound Med Biol, 150, (1989)

[4]

Granberg S., Wikland M., Karlsson B., Norstrom A., Friberg L., Endometrial thickness as measured by endovaginal ultrasonography for identifying endometrial abnormalities, Am J Obstet Gynecol, 164, pp. 47-52, (1991)

[5]

Di Naro E., Bratta F.G., Romano F., Caradonna F., Loizzi P., The diagnosis of benign uterine patology using transvaginal endohysterosonography, Clin Exp Obstet Gynecol, 23, 2, pp. 103-107, (1996)

[6]

Farquhar C., Ekeroma A., Furness S., Arroll B., A sistematic review of transvaginal ultrasonography, sonohysterography and hysteroscopy for the investigation of abnormal uterine bleeding in premenopausal women, Acta Obstet Gynecol Scand, 82, 6, pp. 493-504, (2003)

[7]

Hamou J., Salat-Baroux J., Henrion R., Hysteroscopie et microcolpohysteroscopie, Encycl Med Chir (Paris) Gynecologie, 72, B10, pp. 1-14, (1985)

[8]

Conoscenti G., Meir Y.J., Fisher Tamaro L., Endometrial assessment by transvaginal sonography and histological findings after D&fC in women with postmenopausal bleeding, Ultrasound Obstet Gynecol, 6, pp. 108-115, (1995)

[9]

Develioglu O.H., Bilgin T., Yalcin O.T., Ozalp S., Transvaginal ultrasonography and uterine artery Doppler in diagnosing endometrial pathologies and carcinoma in postmenopausal bleeding, Arch Gynecol Obstet, 268, pp. 175-180, (2003)

[10]

Richmann T.S., Viscomi G.N., De Cherney A., Fallopian tubal patency assessed by ultrasound following fluid injection, Radiology, 152, pp. 507-510, (1984)

← 1 2 →