Comparison of transvaginal ultrasonography and saline infusion sonohysterography in evaluating the endometrial cavity in pre- and postmenopausal women with abnormal uterine bleeding
Comparison of transvaginal ultrasonography and saline infusion sonohysterography in evaluating the endometrial cavity in pre- and postmenopausal women with abnormal uterine bleeding
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DOI：
10.1097/gme.0b013e3180333a6b
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发表时间：
2007-09-01
影响因子：
2.7
通讯作者：
Erdem, Ahmet
中科院分区：
文献类型：
--
作者：
Erdem, Mehmet;Bilgin, Ufuk;Erdem, Ahmet
目的：比较经阴道超声（TVUS）与生理盐水输注超声（SIS）对绝经前、绝经后子宫异常出血的诊断准确性。设计：在一项前瞻性研究中，记录100名绝经前和33名绝经后妇女的TVUS和同期SIS结果。以扩张刮除、宫腔镜、子宫切除术所获标本的病理诊断为参考，并与TVUS、SIS结果进行比较。结果：TVUS和SIS检查结果与病理结果比较，TVUS诊断子宫内膜病变的敏感性和特异性分别为83%和70.6%，SIS诊断子宫内膜病变的敏感性和特异性分别为97.7%和82.4%。SIS诊断子宫内膜息肉的敏感性和特异性分别为100%和91.8%，诊断肌瘤的敏感性和特异性分别为95%和100%。结论：SIS对子宫异常出血患者子宫内膜腔的评估比单纯TVUS更准确。
Objective: To compare the diagnostic accuracy of transvaginal ultrasonography (TVUS) and saline infusion sonohysterography (SIS) of the endometrial cavity in pre- and postmenopausal women with abnormal uterine bleeding.Design: In a prospective study, TVUS and concurrent SIS findings of 100 pre- and 33 postmenopausal women were recorded. The pathological diagnoses of the specimens, obtained by means of dilatation and curettage, hysteroscopy, and hysterectomy, were taken as reference and compared with the results of TVUS and SIS.Results: When TVUS and SIS findings were compared with pathological results, the sensitivity and specificity of TVUS in diagnosing endometrial pathologies were 83% and 70.6%, respectively, whereas the sensitivity and specificity of SIS were 97.7% and 82.4%, respectively. The sensitivity and specificity of SIS in the diagnosis of endometrial polyps were 100% and 91.8%, respectively, and in the diagnosis of fibroids were 95% and 100%, respectively.Conclusion: SIS is more accurate than TVUS alone in the evaluation of the endometrial cavity in women with abnormal uterine bleeding.