Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation.
Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation.
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DOI：
10.4103/0256-4947.83213
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发表时间：
2011-07
影响因子：
1.6
通讯作者：
Al-Jaroudi D
中科院分区：
文献类型：
--
作者：
Khan F;Jamaat S;Al-Jaroudi D
对异常子宫出血的妇女进行的最常见的程序是2D和3D超声。治疗异常子宫出血最常用的方法是2D电视扫描，其次是治疗性宫腔镜检查。本前瞻性研究的目的是评估3D生理盐水灌注超声宫腔造影（3D SIS）是否可以取代诊断性宫腔镜检查（DH）诊断子宫内膜病理学，异常子宫出血患者。2008年1月至2010年2月在沙特阿拉伯利雅得法赫德国王医疗城妇女专科医院超声科进行的前瞻性研究。对101例经阴道二维和三维扫描怀疑子宫内膜异常的异常子宫出血患者进行前瞻性研究。其中，55例患者接受了3D SIS和DH，随后通过组织病理学验证结果。将3D SIS和DH单独与组织病理学进行比较后，3D SIS的特异性和敏感性分别为67%和100%，宫腔镜检查的特异性和敏感性分别为67%和98%。此外，3D SIS的阳性预测值和阴性预测值分别为98%和100%，而DH的阳性预测值和阴性预测值分别为98%和67%。3D SIS是宫腔镜检查的安全替代方法。然而，应该进行更大规模的随机对照试验，以确定这种有利的，微创的程序的有效性和可靠性，对于异常子宫出血的妇女，谁需要评估子宫内膜腔。
The most frequent procedures performed on women with abnormal uterine bleeding are 2D and 3D ultrasound. The most common accepted approach for the management of abnormal uterine bleeding is 2D TV scan followed by therapeutic hysteroscopy. The purpose of this prospective study was to assess whether 3D saline infusion sonohysterography (3D SIS) could replace diagnostic hysteroscopy (DH) for the diagnosis of endometrial pathology, in patients with abnormal uterine bleeding. A prospective study in the ultrasound department of the Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia from January 2008 to February 2010. 0One hundred and one patients with abnormal uterine bleeding, suspected to have endometrial abnormality by 2D and 3D transvaginal scan, were prospectively studied. Of these, 55 patients had undergone both 3D SIS and DH, followed by verification of results with histopathology. Upon comparison of 3D SIS and DH individually with histopathology, specificity and sensitivity for 3D SIS were 67% and 100%, respectively, and for hysteroscopy 67% and 98%, respectively. In addition, the positive predictive value and negative predictive value were 98% and 100%, respectively, for 3D SIS, while for DH they were 98% and 67%, respectively. 3D SIS is a safe alternative to hysteroscopy. However, larger randomized controlled trials should be conducted to ascertain the validity and reliability of this advantageous, less-invasive procedure, for women with abnormal uterine bleeding, who require evaluation of the endometrial cavity.
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DOI：
10.1016/s0301-2115(01)00567-x
发表时间：
2002-04-10
影响因子：
2.6
作者：
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DOI：
10.1097/gme.0b013e3180333a6b
发表时间：
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作者：
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