Comparison of hysteroscopic diagnosis of patients who were diagnosed with saline infusion sonography

Yıl 2014, Cilt: 45 Sayı: 1, 1 - 7, 01.03.2014

Ahmet Nessar Hakan Nazik Hakan Aytan Murat Api

https://doi.org/10.16948/zktb.70850

Cited By: 1

Öz

Objective: We aimed to compare hysteroscopic diagnosis of patients who were diagnosed preoperatively with the salin infusion sonography and to discuss the efficiency and accuracy of hysteroscopy.

Materials and Methods: Ninety-five patients who underwent hysteroscopy procedure in Dept of Gyn&Ob, Adana Numune Teaching and Research Hospital, between October 2011 to December 2012, included in this study. Preoperative sonohysterography was performed in all patients who scheduled for hysteroscopy with different indications. Patients underwent to hysteroscopy procedure after the sonohysterographic diagnoses recorded. Afterwards the diagnostic values of these two commonly used methods compared with histological diagnosis that considered the gold standard.

Results: In condition of histological diagnosis was considered the gold standard we found that: diagnostic sensitivity and specifity of sonohysterography, respectively: polyp 90.62% and 90.48%, myoma 84.21% and 100%. Diagnostic sensitivity and specifity of histerography, respectively: polyp 96.78% and 90.48%, myoma 84.21% and 100%.

Conclusion: Saline infusion sonography satisfied us about the focal lesions but in our routine practice hysterescopic approach is gone to widespreading and essential tool for the diagnosis and treatment of endometrial cavity lesions.

Keywords: Hysteroscopy, salin infusion sonography, endometrial pathology

Anahtar Kelimeler

Hysteroscopy, salin infusion sonography, endometrial pathology.CİLT: 45 YIL: 2014 SAYI: 1

Salin infüzyon sonografisi ile ön tanı konulan hastaların histeroskopik tanılarının karşılaştırılması

Öz

Amaç: Bu çalışmada, preoperatif dönemde salin infüzyon sonografisi (SİS) ile tanı konulan hastaların histeroskopik tanılarının karşılaştırılması ve histeroskopinin etkinlik ve güvenilirliğinin belirlenmesi amaçlanmıştır.

Gereç ve Yöntem: Bu çalışma Eğitim ve Araştırma Hastanesi kadın hastalıkları ve doğum kliniğinde Ekim 2011- Aralık 2012 tarihleri arasında histeroskopi yapılan 95 hasta ile yapılmışır. Farklı nedenlerden dolayı histeroskopi planlanan tüm hastalara preoperatif SİS yapıldı. Daha sonra bu iki yöntemin tanısal değerleri karşılaştırıldı.

Bulgular: Histolojik tanı altın standart olarak kabul edildiğinde polip tanısında SİS’in %90.62 sensitivite, %90.48 spesifite, myom tanısında %84.21 sensitivite, %100 spesifiteye sahip olduğu izlenmiştir. Histeroskopinin polip tanısında %96.87 sensitivite, %90.48 spesifite, myom tanısında ise %84.21 sensitivite, %100 spesifiteye sahip olduğu saptanmıştır.

 Sonuç: SİS fokal lezyonların tanısında oldukça doyurucu etkinliğe sahip olsa da histeroskopinin endomatrial kavite patolojilerinde giderek yaygınlaşan ve vazgeçilmez bir tanı ve tedavi yöntemi haline geldiğini görmekteyiz.

Anahtar Kelimeler: Salin infüzyon sonografi, histeroskopi, endometrial patoloji

Anahtar Kelimeler

Salin infüzyon sonografi, histeroskopi, endometrial patolojiComparison of hysteroscopic diagnosis of patients who were diagnosed with saline infusion sonography.

Kaynakça

• Berek JS: Benign diseases of female reproductive organs. In Adams PJ (eds): Novak’s Gynecology Williams & Wilkins. Baltimore 351-421, 1996.
• Ely JW, Kennedy CM, Clark E.:Abnormal uterine bleeding: A management algorithm. The journal of the American board of family medicine November– December Vol. 19:590-602, 2006
• Jenning JC: Abnormal Uterine Bleeding. Med Clin North Am.1995;79:1357-1376.
• Emanuel MH, Verdel MJC, Stas H. An audit of true prevalence of intrauterine pathology: the hysteroscopical findings controlled for patient selection in 1202 patients with abnormal uterine bleeding. Gynaecol Endosc. 1995;4:237-41.
• Goldstein SR. Use of ultrasonohysterography for triage of perimenopausal patients with unexplained uterine bleeding. Am J Obstet Gynecol. 1994;170:565-70.
• Nasri MN, Shepherd JH, Setchell ME, Lowe DG, Chard T: The role vaginal scan in mesurement of endometrial thickness in postmenopausal woman. BJ Obstet Gynecol, 1998;98:470-5.
• Fedele L, Bianchi S, Dorta M, Vignali M. Intrauterine adhesions: detection with transvaginal US. Radiology 1996;199:757-9.
• Gaucherand P, Piacenza JM, Salle B, Rudigoz RC, Sonohysterography of the uterine cavity: preliminary investigations. J Clin Ultrasound 1995;23:339-48.
• Serden SP: Diagnostic hysteroscopy to evaluate the cause of endometrial bleeding. Obstet Gynecol North Am 2000;27:277-286,.
• Lalchandani S, Philips K. Evaluation of endometrial cavity-investigation options Reviews in Gynaecological Practice 2003:3:165-70.
• Dede M. Jinekolojik onkolojide histeroskopinin yeri. Gülhane Tıp Dergisi 2002;44(4):464-471.
• Haynes PJ, Hodgson H, Anderson ABM: Measurament in menstruel blood loss in patients complaining of menorhagia. BJOG 1977;84:763-68.
• Creasman W.T. (1997) Endometrial Cancer Incidence, Prognostic Factors, Diagnosis and Treatment. Semn. Oncol., 1997;24.S1-140 S1-50.
• Stock RC, Kanbour H. Prehysterectomy curettage. Am J Obstet. Gynecol 1975;45:537-41.
• Güdücü N, Ünal M, Turan C, Ünal O. Premenopozal uterin kanamlı hastalardan SİS , histeroskopi ve endometrial küretaj sonuçlarının karşılaştırılması. T Klin. Jinekol. Obst. 2002;12:98-103.
• Ebstein E., Ramirez A., Skoog L., Valentin L. Transvaginal sonography, saline contrast sonography and hysteroscopy for the investigation of woman with postmenopausal bleeding and endometrium > 5 mm. Ultrasound Obstet Gynecol. 2001;18:157-62.
• Lo K.W and Yuen P.M..The role of outpatient diagnostic H/S in identifying anatomic pathology and histopathology in the endometrial cavity. J.Am. Assoc. Gynecol. Laparosc. 2000;7,381-385.
• Bartkowiak R.,Kaminski P.,Wielgoo M.,Marianovski L. Accuracy of transvaginal snographyi sonohysterography and hysteroscopy in diagnosis of intrauterine pathology. Gynecol. Poolish. 2003;74(3):203-9.
• Soğuktaş S, Cogendez E, Kayataş SE, Asoglu MR, Selçuk S, Ertekin A. Comparison of saline hysteroscopy in diagnosis of premenopopausal women with abnormal uterine bleeding. Eur J Obstet Gynecol Biol. 2012;161(1):66
• Horo GA, Toure Ecra FA, Fanny M, N’Gbesso D, Kone M. Diagnosis of endometrial pathologies in West Africa: contribution of saline infusion sonography. Experience of Yopougon’s teaching hospital (Abidjan, Ivory Coast). Gynecol Obstet Fertil. 2006;34(12)1142-6.
• Ahmet K., Erdin &, Hakan K., E.Can T.,Figen T. Anormal uterin kanamalı kadınların değerlendirilmesinde, TVUSG, HSG ve endometrial biyopsinin karşılaştırılması. TJOD 2005:2(4):327-31
• Gronlund L, Hertz J, Helm P, Colov NP. Transvaginal sonohysterography and hysteroscopy in the evaluation of female infertility, habitual abortion or metrorrhagia. A comparative study.Acta Obstet Gynecol Scand. 1999;78(5):415-8
• Soares SR, Barbosa dos Reis MM, Camargos AF. Diagnostic accuracy of sonohysterography, transvaginal sonography, and hysterosalpingography in patients with uterine cavity diseases. Fertil Steril. 2000;73(2):406-11