title: [Ambulatory hysteroscopic diagnosis. Analysis of 425 cases].
abstract: The use of outpatient diagnostic hysteroscopy is discussed with reference to a series of 425 women. The test was performed in an outpatient setting with no form of analgesia, anesthesia or premedication in 385 patients (90.6%); the degree of acceptability was very low (intolerable) in 5.5%, supportable in 15.8% and excellent in 78.7% of patients. Fourty-two per cent of patients were aged between 45 and 54 years old, and the mean age was 47.5 years with a range between 18 and 83 years. The indication for the test was pre- or postmenopausal anomalous uterine bleeding in 74% of patients. Hysteroscopic diagnosis was normal in 56% of cases; endometrial polyps were diagnosed in 11.4% of patients; myomas in 11%; low-risk hyperplasia in 9.9% and malignant tumours in 3.6%. The correlation between hysteroscopic diagnosis and histological tests was above 95% in cases of malignant tumours, atrophy and functional endometrium, whereas it was 67% in cases of low-risk hyperplasia. No accidents or complications related to hysteroscopy were reported.
authors.affiliation: Divisione di Ostetricia e Ginecologia Ospedale Provinciale-Treviglio (Bergamo).
authors.forename: C
authors.initials: C
authors.lastname: Crescini
authors.forename: A
authors.initials: A
authors.lastname: Artuso
authors.forename: D
authors.initials: D
authors.lastname: Comerio
authors.forename: G
authors.initials: G
authors.lastname: Idi
authors.forename: F
authors.initials: F
authors.lastname: Repetti
authors.forename: D
authors.initials: D
authors.lastname: Reale
authors.forename: E
authors.initials: E
authors.lastname: Pezzica
mesh_terms: D000553:Ambulatory Care; D000075202:Contraindications; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000379:methods; D007558:Italy; D010044:Outpatient Clinics, Hospital; D014591:Uterine Diseases / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis
vernacular_title: Isteroscopia diagnostica ambulatoriale. Analisi di 425 casi.