TY - JOUR TT - Comparison of Diagnostic Accuracy of Saline Infusion Sonohysterography and Office Hysteroscopy in Abnormal Uterine Bleeding and Infertility AU - Erkayıran, Uğurkan AU - Savuran Üçok, Belgin AU - Seven, Ali AU - Özel, Şule AU - Batıoğlu, Ali Sertaç PY - 2017 DA - July Y2 - 2017 DO - 10.17517/ksutfd.315878 JF - Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi JO - KSU Medical Journal PB - Kahramanmaras Sutcu Imam University WT - DergiPark SN - 1303-6610 SP - 17 EP - 20 VL - 12 IS - 2 KW - Anormal uterin kanama KW - infertilite KW - transvajinal ultrasonografi KW - salin infüzyon sonohisterografi KW - ofis histeroskopi N2 - Objective: The aim of this study is to compare diagnostic accuracyof saline infusion sonohysterography and office hysteroscopy in abnormal uterinbleeding and infertility. Methods: The study included 55 women, age between 20-64, whoconsulted to obstetrics and gynecology polyclinic and had nohistory of pregnancy, pelvic inflammatory disease, endometrium and cervix cancerand cervical stenosis. Transvaginal ultrasonography and then saline infusionsonohysterography, office hysteroscopy and dilatation-curettage wereconsecutively performed between 3th and 10th days ofmenstruation cycle in every patient. Sensitivity, specificity, positivepredictive and negative predictive values were calculated by comparing theresults of imaging methods and histopathologic findings. Results: The hysteroscopicfindings were statistically significant in diagnosis the uterine pathologies(p<0.001)while saline infusion sonohysterography didn’t have statisticallysignificant findings when compared withhistopathologic results (p=0.957). Sensitivity of SIS was %57.6, specificity was %68.2, positive predictive value was %73.1 and negative predictive value was %51.7.Sensitivity of office H/S was %84.8, spesificity was %72.7, positive predictivevalue was %82.4 and negative predictive value was %76.2.Conclusion: The office hysteroscopy had diagnosticaccuracy in detecting uterine patologies in abnormal uterin bleeding andinfertility while saline infusion sonohysterography didn’t have. This may have affected from thesurgeon’s education and experience and the tecnique of saline infusionsonohysterography. CR - 1 Stovall T, Soloman S, Ling F. 1989. Endometrial sampling prior to hysterectomy. Obstet Gynecol 73: 405-409 CR - 2 Cacciatore B, Ramsay T, Lehtovirta P, Ylöstalo P. 1994. Transvaginal sonography and hysteroscopy in postmenopausal bleeding. Acta Obstet Gynecol Scand 73: 413-16 CR - 3 Oral Özay, Kayabaşoğlu Furkan. 2010. Operatif Histeroskopi. Histeroskopi : Klinik uygulamalar ve güncel yaklaşımlar. Özay Oral, Furkan Kayabaşoğlu. (editör). İstanbul Tıp Kitabevi ,İstanbul, Türkiye. s: 61-79 CR - 4 Wolman I, Groutz A, Gordon D, Kupfermine MJ, Lessing JB, Jaffa AJ. 1999. Timing of sonohysterography in menstruating women . Gynecol Obstet Invest 48: 254-258 CR - 5 Parsons AK, Cullinan JA, Goldstein SR, Fleicher AC. 1996. Sonohysterography, sonosalpingography, and sonohysterosalpingography; a map of normal and abnormal findings. In: Sonography in obstetrics and gynecology: principle and practice . Fleicher AC, eds . fifth edition. Tenesse. Appleton&Lange CR - 6 Bingöl B, Günenç MZ, Gedikbaşı A, Güner H, Taşdemir S, Tiras B. 2011. Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography and hysteroscopy in postmenopausal bleeding. CR - 7 Dasgupta S, Dasgupta S, Sharma PP, Mukherjee A, Ghosh TK. 2011. Ultrasound assesmanet of endometrial cavity in perimenopausal women on oral progesterone for abnormal uterin bleeding: Comparison of diagnostic accuracy of imaging with hysteroscopy- guided biopsy. J Obstet Gynaecol Res. Jul 6. Doi:10. 1111/ j. 1447-0756 CR - 8 Grimbizis GF, Tsolakidis D, Mikos T, Anagnostou E, Asimakopoulos E, Stamatopoulos P. 2010. A prospective comparison of transvaginal ultrasound, saline infusion sonohysterography, and diagnostic hysteroscopy in the evaluation of endometrial pathology. Fertil Steril Dec; 94(7) : 2720-5 CR - 9 Jansen FW, de Kroon CD, van Dongen H, Grooters C, Louwe L, Trimbos-Kemper T. 2006. Diagnostic hysteroscopy and saline infusion sonography: prediction of intrauterine polyps and myomas. J Minin Invasive Gynecol Jul-Aug; 13(4) : 320-4 CR - 10 Çepni I, Öcal P, Erkan S, Sarıçalı FS, Akbaş H, Demirkıran F, İdil M, Beşe T. 2005. Caomparison of transvaginal sonography, saline infusion sonography, and hysteroscopy in the evaluation of uterin cavity pathologies. 2005. Aust N Z J Obstet Gynaecol Feb;45(1) : 30-5 UR - https://doi.org/10.17517/ksutfd.315878 L1 - https://dergipark.org.tr/en/download/article-file/343907 ER -