[Clinical assessment of sonohysterography in the diagnosis and management of abnormal uterine bleeding].
BACKGROUND
Abnormal uterine bleeding is a common gynecological symptom. The curettage can asses only 50-60% of endometrium surface, thereby leaving some changes unrevealed. Sonohysterography (SHG), which combines the distention of the uterine cavity trough saline solution and ultrasound examination, allows a more exact evaluation of uterine cavity abnormalities.


OBJECTIVE
To assess the value of sonohysterography in the diagnosis and management of abnormal uterine bleeding.


METHODS
67 women with abnormal uterine bleeding and uterine cavity abnormalities confirmed by transvaginal ultrasound were examined with sonohysterography.


RESULTS
Sonohysterography revealed 21 cases of submucous myomas, 22 endometrial polyps and 24 cases of endometrial hyperplasia. All patients underwent diagnostic hysteroscopy to verify the results. The sensitivity and specificity for sonohysterography were both 93%. The positive and negative predictive values were 96% and 93%, respectively.


CONCLUSIONS
Sonohysterography is a sensitive and specific method for diagnosis of abnormal uterine bleeding. It allows faster and less invasive diagnosis. Given the low costs of examination sonhysterography can be used as an ambulatory procedure reducing delay of treatment.
Szpurek
Dariusz
D
Kliniki Ginekologii Operacyjnej, Ginekologiczno-Połozniczego Szpitala Klinicznego Akademii Medycznej w Poznaniu.
Sroka
Łukasz
Ł
Moszyński
Rafał
R
Sajdak
Stefan
S
D000328:Adult; D000368:Aged; D004714:Endometrial Hyperplasia / Q000150:complications / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications / Q000000981:diagnostic imaging; D008875:Middle Aged; D012680:Sensitivity and Specificity; D012965:Sodium Chloride / Q000627:therapeutic use; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology*; D014594:Uterine Neoplasms / Q000150:complications / Q000000981:diagnostic imaging; D014599:Uterus / Q000000981:diagnostic imaging*
D012965:Sodium Chloride