Document Detail


Transvaginal sonohysterography and hysteroscopy in the evaluation of female infertility, habitual abortion or metrorrhagia. A comparative study.
MedLine Citation:
PMID:  10326887     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To assess the diagnostic value of sonohysterography in the evaluation of metrorrhagia and infertility with hysteroscopy as the standard. METHODS: Sixty-six women, 41 with metrorrhagia, 20 with infertility and five with habitual abortion, were examined by sonohysterography and hysteroscopy. Sterile saline instilled through a baby-feeding tube was used to distend the uterine cavity during sonohysterography. Hysteroscopy was performed with a 4 mm hysteroscope under general anesthesia. The endometrial polyps and submucous myomas were recorded and the findings subsequently compared. RESULTS: Of the 66 women, 60 were successfully examined by both sonohysterography and hysteroscopy. The overall sensitivity and specificity for sonohysterography was 90.9% and 100%, respectively. The positive and negative predictive values were 100% and 90%, respectively. When examining the metrorrhagia and infertility groups separately the sensitivity and specificity and predictive values were found to be 88.5%, 100%, 100% and 76.9% (metrorrhagia) and 100% for all parameters in cases of infertility. No complications were recorded during the procedures. CONCLUSION: Sonohysterography is a simple, fast, well tolerated and accurate method to evaluate the uterine cavity in patients with metrorrhagia or infertility.
Authors:
L Grønlund; J Hertz; P Helm; N P Colov
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  78     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  1999 May 
Date Detail:
Created Date:  1999-06-01     Completed Date:  1999-06-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  415-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Gentofte Hospital, University of Copenhagen, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Habitual / etiology,  ultrasonography*
Female
Humans
Hysteroscopy*
Infertility, Female / etiology,  ultrasonography*
Leiomyoma / complications,  diagnosis,  ultrasonography
Metrorrhagia / etiology,  ultrasonography*
Polyps / complications,  diagnosis,  ultrasonography
Predictive Value of Tests
Pregnancy
Prospective Studies
Sensitivity and Specificity
Uterine Neoplasms / complications,  diagnosis*,  ultrasonography
Uterus / ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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