[Role of vaginal echography in the investigation of menorrhagia and metrorrhagia in the reproductive years].
Eighty non-menopausal patients who had troubles of menorrhagia or metrorrhagia who were neither pregnant nor had cervical pathology, were investigated first by vaginal ultrasound and then by hysteroscopy. In 43 of the cases a hysterosalpingogram had been carried out before hand. All patients had histological examination of tissues. The main pathological ultrasound features were clearly made out. Vaginal ultrasound, and the conditions under which the study was undertaken, gives much more information than hysterosalpingography and will be able in future to a greater extent, to replace conventional radiography. Vaginal ultrasound manages to achieve information about the endometrium and the uterine cavity almost equal to that obtained by hysteroscopy and furthermore it gives more precise information about the state of the myometrium. Vaginal ultrasound therefore seems to be an excellent first stage examination to investigate menstrual disturbances in reproductive life, and so long as it is carried out under good conditions will limit the indications for hysteroscopy and will be able to indicate when it is necessary to carry out simple exploratory hysteroscopy or operative hysteroscopy.
Rudigoz
R C
RC
Service de Gynécologie-Obstétrique, Hôpital de la Croix-Rousse, Lyon.
Frobert
C
C
Chassagnard
F
F
Gaucherand
P
P
D000328:Adult; D003663:Decision Trees; D005069:Evaluation Studies as Topic; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D015907:Hysteroscopy / Q000592:standards; D008595:Menorrhagia / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000473:pathology; D008796:Metrorrhagia / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000473:pathology; D008875:Middle Aged; D012680:Sensitivity and Specificity; D014463:Ultrasonography; D014621:Vagina / Q000000981:diagnostic imaging*
Place de l'échographie par voie vaginale dans l'exploration des ménométrorragies de la période d'activité génitale.