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

Sonohysterography: a prospective survey of results and complications in 81 patients
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DOI:
10.1016/s0301-2115(01)00567-x
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发表时间:
2002-04-10
影响因子:
2.6
通讯作者:
Lansac, J
Lansac, J
中科院分区:
医学4区
文献类型:
--
作者:
Bonnamy, L;Marret, H;Lansac, J

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目的:评价超声宫腔造影(SHG)对宫内异常的诊断价值,并描述其并发症及失败率。研究设计:对81例患者进行了前瞻性调查,其中月经过多44例,绝经后出血30例,不孕症7例。结果:55例均行病理检查。有4例失败(宫颈狭窄)。1例严重并发症(盆腔炎),1例盆腔疼痛。超声检查的敏感性和特异性分别为56%和83%,宫腔造影为88%和98%,宫腔镜为78%和97%。超声宫腔造影对粘膜下肌瘤的诊断是准确的。结论:超声宫腔造影在子宫病理检查中有一定的应用价值。容易.安全又便宜。但应告知超声波检查师和病人这种检查技术的风险很小。(C)2002爱思唯尔科学爱尔兰有限公司保留所有权利。
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.