Cargando…

Diagnostic accuracy of sonohysterography compared to endometrial biopsy in pre-menopausal women with abnormal uterine bleeding

Background: AUB is a common cause of women’s referring to gynecologists. Although hysteroscopy is known as the gold standard technique for diagnosing the cause of AUB, sonohysterography is less invasive, and it is performed by general gynecologists. The purpose of this study was to evaluate the diag...

Descripción completa

Detalles Bibliográficos
Autores principales: Tehranian, Afsaneh, Bayani, Leila, Heidary, Somayesadat, Rastad, Hadis, Rahimi, Akram, Hosseini, Ladan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4476221/
https://www.ncbi.nlm.nih.gov/pubmed/26157719
_version_ 1782377574522945536
author Tehranian, Afsaneh
Bayani, Leila
Heidary, Somayesadat
Rastad, Hadis
Rahimi, Akram
Hosseini, Ladan
author_facet Tehranian, Afsaneh
Bayani, Leila
Heidary, Somayesadat
Rastad, Hadis
Rahimi, Akram
Hosseini, Ladan
author_sort Tehranian, Afsaneh
collection PubMed
description Background: AUB is a common cause of women’s referring to gynecologists. Although hysteroscopy is known as the gold standard technique for diagnosing the cause of AUB, sonohysterography is less invasive, and it is performed by general gynecologists. The purpose of this study was to evaluate the diagnostic performance of sonohysterography compared to the results of the endometrial biopsy, guided by hysteroscopy in premenopausal women with AUB. Methods: This cross- sectional Study was conducted at the gynecological clinic of Roointan -Arash women's Hospital from February 2011 to February 2012. The study participants were 90 premenopausal female patients, who visited the clinic for AUB, for whom, hormonal, iatrogenic and systemic causes were ruled out. They underwent sonohysterography and hysteroscopy and endometrial biopsy. The results of sonohysterography and pathological reports of endometrial biopsy were compared, and the diagnostic accuracy of sonohysterography for normal endometrium, endometrial polyps, sub mucosal fibroids and endometrial hyperplasia was evaluated. Results: The diagnostic accuracy of sonohysterography was found to be 89.1% for the normal endometrium, 90% for endometrial polyps, 99% for sub mucosal fibroids and 94.4% for endometrial hyperplasia. Conclusion: Sonohysterography is an accurate, non-invasive and cost-effective method for diagnosing AUB causes compared to hysteroscopy and endometrial biopsy. Therefore, as an initial diagnostic step, it can replace the alternative and less accurate methods such as transvaginal ultrasound, blind endometrial curettage or more costly and invasive methods such as hysteroscopy requiring anesthesia.
format Online
Article
Text
id pubmed-4476221
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Iran University of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-44762212015-07-08 Diagnostic accuracy of sonohysterography compared to endometrial biopsy in pre-menopausal women with abnormal uterine bleeding Tehranian, Afsaneh Bayani, Leila Heidary, Somayesadat Rastad, Hadis Rahimi, Akram Hosseini, Ladan Med J Islam Repub Iran Original Article Background: AUB is a common cause of women’s referring to gynecologists. Although hysteroscopy is known as the gold standard technique for diagnosing the cause of AUB, sonohysterography is less invasive, and it is performed by general gynecologists. The purpose of this study was to evaluate the diagnostic performance of sonohysterography compared to the results of the endometrial biopsy, guided by hysteroscopy in premenopausal women with AUB. Methods: This cross- sectional Study was conducted at the gynecological clinic of Roointan -Arash women's Hospital from February 2011 to February 2012. The study participants were 90 premenopausal female patients, who visited the clinic for AUB, for whom, hormonal, iatrogenic and systemic causes were ruled out. They underwent sonohysterography and hysteroscopy and endometrial biopsy. The results of sonohysterography and pathological reports of endometrial biopsy were compared, and the diagnostic accuracy of sonohysterography for normal endometrium, endometrial polyps, sub mucosal fibroids and endometrial hyperplasia was evaluated. Results: The diagnostic accuracy of sonohysterography was found to be 89.1% for the normal endometrium, 90% for endometrial polyps, 99% for sub mucosal fibroids and 94.4% for endometrial hyperplasia. Conclusion: Sonohysterography is an accurate, non-invasive and cost-effective method for diagnosing AUB causes compared to hysteroscopy and endometrial biopsy. Therefore, as an initial diagnostic step, it can replace the alternative and less accurate methods such as transvaginal ultrasound, blind endometrial curettage or more costly and invasive methods such as hysteroscopy requiring anesthesia. Iran University of Medical Sciences 2015-04-20 /pmc/articles/PMC4476221/ /pubmed/26157719 Text en © 2015 Iran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Tehranian, Afsaneh
Bayani, Leila
Heidary, Somayesadat
Rastad, Hadis
Rahimi, Akram
Hosseini, Ladan
Diagnostic accuracy of sonohysterography compared to endometrial biopsy in pre-menopausal women with abnormal uterine bleeding
title Diagnostic accuracy of sonohysterography compared to endometrial biopsy in pre-menopausal women with abnormal uterine bleeding
title_full Diagnostic accuracy of sonohysterography compared to endometrial biopsy in pre-menopausal women with abnormal uterine bleeding
title_fullStr Diagnostic accuracy of sonohysterography compared to endometrial biopsy in pre-menopausal women with abnormal uterine bleeding
title_full_unstemmed Diagnostic accuracy of sonohysterography compared to endometrial biopsy in pre-menopausal women with abnormal uterine bleeding
title_short Diagnostic accuracy of sonohysterography compared to endometrial biopsy in pre-menopausal women with abnormal uterine bleeding
title_sort diagnostic accuracy of sonohysterography compared to endometrial biopsy in pre-menopausal women with abnormal uterine bleeding
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4476221/
https://www.ncbi.nlm.nih.gov/pubmed/26157719
work_keys_str_mv AT tehranianafsaneh diagnosticaccuracyofsonohysterographycomparedtoendometrialbiopsyinpremenopausalwomenwithabnormaluterinebleeding
AT bayanileila diagnosticaccuracyofsonohysterographycomparedtoendometrialbiopsyinpremenopausalwomenwithabnormaluterinebleeding
AT heidarysomayesadat diagnosticaccuracyofsonohysterographycomparedtoendometrialbiopsyinpremenopausalwomenwithabnormaluterinebleeding
AT rastadhadis diagnosticaccuracyofsonohysterographycomparedtoendometrialbiopsyinpremenopausalwomenwithabnormaluterinebleeding
AT rahimiakram diagnosticaccuracyofsonohysterographycomparedtoendometrialbiopsyinpremenopausalwomenwithabnormaluterinebleeding
AT hosseiniladan diagnosticaccuracyofsonohysterographycomparedtoendometrialbiopsyinpremenopausalwomenwithabnormaluterinebleeding