Transvaginal sonographic evaluation at different menstrual cycle phases in diagnosis of uterine lesions
Transvaginal sonographic evaluation at different menstrual cycle phases in diagnosis of uterine lesions
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DOI：
10.2147/ijwh.s25385
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发表时间：
2011-01-01
影响因子：
2.3
通讯作者：
Boromand, Farzaneh
中科院分区：
文献类型：
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作者：
Hajishaiha, Masomeh;Ghasemi-rad, Mohammad;Boromand, Farzaneh
目的：宫内病变（IULs）是育龄妇女，特别是不孕妇女的常见发现。经阴道超声检查（TVS）是一种流行的工具，IUL检测，但有矛盾的数据方面，其accuracy.Methods：506名妇女参加了这项研究。其中，496人在月经周期中接受了子宫输卵管造影和随后的6次TVS检查。结果：496例患者中，经TVS检查发现IULs 41例，经超声宫腔造影（SHG）和宫腔镜检查确诊39例。所有39个病灶均在月经周期的排卵期和黄体早期（第16-19天）检测到。TVS在不同阶段的准确性在很大程度上取决于病变的大小。TVS错误地检测到两个病变，错过了罚款粘连在两个patients.Conclusion：TVS检测IULs的准确性是高度依赖于月经周期阶段，排卵期和黄体早期是最佳的时间进行这项检查。
Purpose: Intrauterine lesions (IULs) are a common finding in women of reproductive age, particularly infertile women. Transvaginal sonography (TVS) is a popular tool for IUL detection, but there are conflicting data with respect to its accuracy.Methods: Five hundred and six women were enrolled into the study. Of these, 496 underwent hysterosalpingography and subsequent TVS six different times during the course of their menstrual cycle. If a lesion was detected, it was further evaluated by sonohysterography (SHG) and hysteroscopy.Results: Of 496 women, 41 were shown to have IULs by TVS and those lesions were confirmed in 39 by SHG and hysteroscopy. All 39 lesions were detectable during the ovulatory and early luteal phase (days 16-19) of the menstrual cycle. Accuracy of TVS during different phases was largely dependent on the size of the lesion. TVS falsely detected two lesions and missed fine adhesions in two patients.Conclusion: Accuracy of TVS in detection of IULs is highly dependent on the menstrual cycle phase, with the ovulatory and early luteal phase being the optimal time for this examination.