A PROSPECTIVE COMPARISON OF TRANSVAGINAL ULTRASONOGRAPHY AND DIAGNOSTIC HYSTEROSCOPY IN THE EVALUATION OF PATIENTS WITH ABNORMAL UTERINE BLEEDING - CLINICAL IMPLICATIONS

被引：119

作者：

EMANUEL, MH ^{[1
]}

VERDEL, MJ ^{[1
]}

WAMSTEKER, K ^{[1
]}

LAMMES, FB ^{[1
]}

机构：

[1] UNIV AMSTERDAM,ACAD MED CTR,DEPT OBSTET & GYNECOL,1105 AZ AMSTERDAM,NETHERLANDS

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 1995年 / 172卷 / 02期

关键词：

TRANSVAGINAL ULTRASONOGRAPHY; ABNORMAL UTERINE BLEEDING; DIAGNOSTIC HYSTEROSCOPY;

D O I：

10.1016/0002-9378(95)90571-5

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: We determined the diagnostic value of transvaginal ultrasonography for endometrial and intrauterine abnormalities in patients with abnormal uterine bleeding. STUDY DESIGN: Between June 1, 1992, and June 1, 1993, 279 consecutive patients underwent transvaginal ultrasonography. Findings were compared with the final diagnosis established by diagnostic hysteroscopy and histologic examination. RESULTS: Transvaginal ultrasonography demonstrated a sensitivity of 0.96 and a specificity of 0.89. With a pretest probability (prevalence) of 0.42, this resulted in posttest probabilities of 0.03 in the case of a normal sonogram and 0.87 for an abnormal sonogram. The corresponding likelihobd ratios were 0.04 and 9.09, respectively. CONCLUSION: Transvaginal ultrasonography seems to be an effective procedure to exclude endometrial and intrauterine abnormalities. Its use could be implemented as a routine first-step procedure in patients with abnormal uterine bleeding, and it selects those in need of further diagnostic evaluation in the case of an abnormal or inconclusive sonogram.

引用

页码：547 / 552

页数：6

共 16 条

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