Sonohysterography in the diagnosis of abnormal uterine bleeding

Objective: The purpose of this study was to evaluate the value of sonohysterography in diagnosis of patients with abnormal uterine bleeding. Method: Fifty-five patients with abnormal uterine bleeding and transvaginal sonography suggested an abnormal endometrial echo were enrolled in the study. Sonoh...

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Main Authors: A. Chittacharoen, U. Theppisai, V. Linasmita, J. Manonai
Other Authors: Mahidol University
Format: Article
Published: 2018
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/26320
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spelling th-mahidol.263202018-09-07T16:23:24Z Sonohysterography in the diagnosis of abnormal uterine bleeding A. Chittacharoen U. Theppisai V. Linasmita J. Manonai Mahidol University Medicine Objective: The purpose of this study was to evaluate the value of sonohysterography in diagnosis of patients with abnormal uterine bleeding. Method: Fifty-five patients with abnormal uterine bleeding and transvaginal sonography suggested an abnormal endometrial echo were enrolled in the study. Sonohysterography was performed on all patients, using saline instilled through an endocervically placed catheter. The histologic or pathologic finding was evaluated after surgical procedures and compared with sonohysterography results. Results: Sonohysterography was successfully completed in 52 cases (94.54%). Three cases had cervical stenosis and failed to pass the catheter into the uterine cavity. Mean age was 41.56 ± 7.82 years (range 29-58 years). Forty-six of 52 sonohysterography demonstrated intrauterine abnormalities (29 endometrial polyps, 15 submucous myomas, 2 endometrial hyperplasia). The pathologic finding demonstrated 46 intrauterine pathologic cases (28 endometrial polyps, 15 submucous myomas, 3 endometrial hyperplasia). Sonohysterography had 97.82% sensitivity, 83.33% specificity, 97.82% positive predictive value, 83.33% negative predictive value, and 96.15% accuracy. Conclusion: Sonohysterography is a highly sensitive, specific, and accurate screening procedure for the evaluation of uterine cavity in abnormal uterine bleeding and is a simple, minimally invasive, and effective tool to use in the evaluation of patients. 2018-09-07T09:23:24Z 2018-09-07T09:23:24Z 2000-01-01 Article Journal of Obstetrics and Gynaecology Research. Vol.26, No.4 (2000), 277-281 10.1111/j.1447-0756.2000.tb01322.x 13418076 2-s2.0-0033771405 https://repository.li.mahidol.ac.th/handle/123456789/26320 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0033771405&origin=inward
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Medicine
spellingShingle Medicine
A. Chittacharoen
U. Theppisai
V. Linasmita
J. Manonai
Sonohysterography in the diagnosis of abnormal uterine bleeding
description Objective: The purpose of this study was to evaluate the value of sonohysterography in diagnosis of patients with abnormal uterine bleeding. Method: Fifty-five patients with abnormal uterine bleeding and transvaginal sonography suggested an abnormal endometrial echo were enrolled in the study. Sonohysterography was performed on all patients, using saline instilled through an endocervically placed catheter. The histologic or pathologic finding was evaluated after surgical procedures and compared with sonohysterography results. Results: Sonohysterography was successfully completed in 52 cases (94.54%). Three cases had cervical stenosis and failed to pass the catheter into the uterine cavity. Mean age was 41.56 ± 7.82 years (range 29-58 years). Forty-six of 52 sonohysterography demonstrated intrauterine abnormalities (29 endometrial polyps, 15 submucous myomas, 2 endometrial hyperplasia). The pathologic finding demonstrated 46 intrauterine pathologic cases (28 endometrial polyps, 15 submucous myomas, 3 endometrial hyperplasia). Sonohysterography had 97.82% sensitivity, 83.33% specificity, 97.82% positive predictive value, 83.33% negative predictive value, and 96.15% accuracy. Conclusion: Sonohysterography is a highly sensitive, specific, and accurate screening procedure for the evaluation of uterine cavity in abnormal uterine bleeding and is a simple, minimally invasive, and effective tool to use in the evaluation of patients.
author2 Mahidol University
author_facet Mahidol University
A. Chittacharoen
U. Theppisai
V. Linasmita
J. Manonai
format Article
author A. Chittacharoen
U. Theppisai
V. Linasmita
J. Manonai
author_sort A. Chittacharoen
title Sonohysterography in the diagnosis of abnormal uterine bleeding
title_short Sonohysterography in the diagnosis of abnormal uterine bleeding
title_full Sonohysterography in the diagnosis of abnormal uterine bleeding
title_fullStr Sonohysterography in the diagnosis of abnormal uterine bleeding
title_full_unstemmed Sonohysterography in the diagnosis of abnormal uterine bleeding
title_sort sonohysterography in the diagnosis of abnormal uterine bleeding
publishDate 2018
url https://repository.li.mahidol.ac.th/handle/123456789/26320
_version_ 1763495420070199296