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Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation

BACKGROUND AND OBJECTIVES: 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 st...

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Autores principales: Khan, Faryal, Jamaat, Sadia, Al-Jaroudi, Dania
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3156516/
https://www.ncbi.nlm.nih.gov/pubmed/21808116
http://dx.doi.org/10.4103/0256-4947.83213
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author Khan, Faryal
Jamaat, Sadia
Al-Jaroudi, Dania
author_facet Khan, Faryal
Jamaat, Sadia
Al-Jaroudi, Dania
author_sort Khan, Faryal
collection PubMed
description BACKGROUND AND OBJECTIVES: 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. DESIGN AND SETTING: 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. PATIENTS AND METHODS: 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. RESULTS: 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. CONCLUSION: 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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spelling pubmed-31565162011-09-06 Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation Khan, Faryal Jamaat, Sadia Al-Jaroudi, Dania Ann Saudi Med Original Article BACKGROUND AND OBJECTIVES: 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. DESIGN AND SETTING: 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. PATIENTS AND METHODS: 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. RESULTS: 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. CONCLUSION: 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. Medknow Publications 2011 /pmc/articles/PMC3156516/ /pubmed/21808116 http://dx.doi.org/10.4103/0256-4947.83213 Text en © Annals of Saudi Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Khan, Faryal
Jamaat, Sadia
Al-Jaroudi, Dania
Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation
title Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation
title_full Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation
title_fullStr Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation
title_full_unstemmed Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation
title_short Saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation
title_sort saline infusion sonohysterography versus hysteroscopy for uterine cavity evaluation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3156516/
https://www.ncbi.nlm.nih.gov/pubmed/21808116
http://dx.doi.org/10.4103/0256-4947.83213
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