Document Detail

Uterine arteries doppler velocimetry provides 3-years follow up endometrial ablation outcome.
MedLine Citation:
PMID:  19548598     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to assess whether uterine artery Doppler velocimetry [pulsatility index (PI) and resistance index (RI)] and thickness of the endometrium (TE) are able to predict 3-year clinical outcome after endometrial ablation (EA) for dysfunctional uterine bleeding (DUB). This was a prospective, observational study of 29 women of whom 22 were amenorrhoeic (A) and 7 eumenorrhoeic (E) at the end of the first postoperative year. The PI, RI and TE were measured prior to and 1, 6 and 12 months after EA. Statistical analyses were performed using BMDP statistical software, discriminant analysis, ANOVA and T test. Using the calculated classification function (CF) with the three parameters PI, RI and TE measured 12 months after FEAT, we were able to accurately (100%) specify which of the women will have A or E in 3 years. The predictive value of PI, RI and TE has been confirmed clinically in a minimum 3-year follow-up of outcome (ranging from 36 to 72 months [mean 55]). All A and E women have stayed in the same group (A or E) during the minimum of 3 years. In conclusion we found that PI, RI and TE measured prior to EA cannot predict the outcome, however these measurements performed 1 year after FEAT can predict the duration of A or E in the 3-year follow up.
D Kuzel; D Tóth; Z Fucíková; L Bartosová; M Mára; H Hrusková; M Fanta; Z Zizka; O Sosna; K Kubínová; A Dohnalová
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Prague medical report     Volume:  109     ISSN:  1214-6994     ISO Abbreviation:  Prague Med Rep     Publication Date:  2008  
Date Detail:
Created Date:  2009-06-24     Completed Date:  2009-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101227436     Medline TA:  Prague Med Rep     Country:  Czech Republic    
Other Details:
Languages:  eng     Pagination:  166-74     Citation Subset:  IM    
Charles University in Prague and the General Teaching Hospital, First Faculty of Medicine, Department of Gynaecology and Obstetrics, Prague, Czech Republic.
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MeSH Terms
Blood Flow Velocity*
Endometrial Ablation Techniques*
Metrorrhagia / physiopathology,  surgery*
Middle Aged
Ultrasonography, Doppler, Color
Uterus / blood supply*

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