[Hysterosonographic study of the uterine cavity].
OBJECTIVE
Evaluate the reliability, safety and performance of hysterosonographic assessment of the uterine cavity.


METHODS
Hysterosonography was performed in 220 patients with injection of sterile saline into the uterine with a novel catheter. Among these patients, 132 patients then underwent a hysteroscopy or hysterectomy with a histology examination.


RESULTS
There were 8 failures: 2 synechiae, 3 atresias of the cervix, and massive reflux in 3 cases. No other complication occurring. Hysterosonography appeared to give more information on the uterine cavity than standard vaginal sonography. In cases with metrorrhage before menopause, the diagnosis was correct in 75.4% of the cases. Errors were related to confusion between polyp and hyperplasia. In post-menopausal metrorrhagia, there was 92% agreement between sonography and histological results. Agreement was 86.3% in cases of infertility.


CONCLUSIONS
Hysterosonography using saline solution injected with a novel catheter can be an excellent means of evaluating the uterine cavity and can completely replace classical hysterography, thus avoiding many exploratory hysterocopies.
Rudigoz
R C
RC
Service de Gynécologie-Obstétrique, Hôpital de la Croix-Rousse, Lyon.
Salle
B
B
Piacenza
J M
JM
de Saint-Hilaire
P
P
Gaucherand
P
P
D015982:Bias; D003937:Diagnosis, Differential; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000379:methods*; D007267:Injections; D015203:Reproducibility of Results; D012965:Sodium Chloride / Q000008:administration & dosage; D018084:Ultrasonography, Interventional / Q000295:instrumentation / Q000379:methods*; D014591:Uterine Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery
D012965:Sodium Chloride
Etude de la cavité utérine par hystérosonographie.