کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3932645 1253332 2011 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Detection of endometrial pathology using saline infusion sonography versus gel instillation sonography: a prospective cohort study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Detection of endometrial pathology using saline infusion sonography versus gel instillation sonography: a prospective cohort study
چکیده انگلیسی

ObjectiveTo compare saline infusion sonography (SIS) with gel instillation sonography (GIS) in terms of feasibility and diagnostic accuracy.DesignProspective cohort study.SettingLeuven University bleeding clinic.Patient(s)A total of 804 patients: two consecutive cohorts of 402 women undergoing SIS or GIS.Intervention(s)Vaginal ultrasound (n = 804) followed by SIS (n = 402) or GIS (n = 402); office hysteroscopy in 685 patients, and endometrium sampling in 487 patients; surgery in 274 women: operative hysteroscopy (n = 230) or hysterectomy (n = 44).Main Outcome Measure(s)Patients' characteristics, technical failure rates, and final diagnosis. Pathology was defined as endometrial hyperplasia, polyp, cancer, or intracavitary myomas.Result(s)The technical failure rate (difference between proportions and confidence interval) was 5.0% for SIS versus 1.8% for GIS, respectively (3.21; [0.69–5.95]). Failure due to inadequate distension was 1.5% versus 0.3% for SIS and GIS, respectively (1.25; [–0.16–2.99]). Pathology was diagnosed in 180 patients (49%) of the SIS group versus 147 patients of the GIS group (40.2%) (8.88; [1.69–15.95]). The sensitivity was 77.8% and 85.0%, respectively (NS). The negative predictive value was 79.1% for SIS and 88.6% for GIS (9.54; [2.17–16.89]).Conclusion(s)Gel instillation sonography is a feasible, accurate alternative for SIS in the evaluation of women with abnormal bleeding, and has fewer technical failures.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Fertility and Sterility - Volume 95, Issue 1, January 2011, Pages 285–288
نویسندگان
, , , , , , ,