Indu Chawla1, Suchita Tripathi2, Poonam Vohra3, Pushpa Singh2. 1. Department of Obstetrics and Gynecology PGIMER, Dr. RML Hospital, New Delhi, 110001 India ; J-5/169, Rajouri Garden, New Delhi, 110027 India. 2. Department of Obstetrics and Gynecology PGIMER, Dr. RML Hospital, New Delhi, 110001 India. 3. Department of Radiodiagnosis PGIMER, Dr. RML Hospital, New Delhi, 110001 India.
Abstract
OBJECTIVE: To evaluate the accuracy of transvaginal sonography (TVS) and saline infusion sonohysterography (SIS) for detection of uterine cavity abnormalities in patients with abnormal uterine bleeding (AUB) taking hysteroscopy as the gold standard. METHODS: This was a prospective study done in the department of Obstetrics and Gynecology of a tertiary care academic hospital. Sixty premenopausal and postmenopausal women who presented with AUB underwent TVS, SIS, and hysteroscopy. The presence of focal abnormality and the type of abnormality, i.e., polyp, submucous myoma, and endometrial hyperplasia, were noted. The results of TVS and SIS were compared with hysteroscopy. RESULTS: On hysteroscopy, 76.67 % (n = 46) patients were diagnosed with intra cavity abnormalities. SIS showed sensitivity, specificity, PPV, and NPV of 89.1, 100, 100, and 73.7 %, respectively. In comparison, TVS showed sensitivity, specificity, PPV, and NPV of 43.48, 78.57, 86.96, and 29.73 %, respectively. CONCLUSIONS: SIS was found to be more sensitive and specific than TVS in detection of intra cavity abnormalities.
OBJECTIVE: To evaluate the accuracy of transvaginal sonography (TVS) and saline infusion sonohysterography (SIS) for detection of uterine cavity abnormalities in patients with abnormal uterine bleeding (AUB) taking hysteroscopy as the gold standard. METHODS: This was a prospective study done in the department of Obstetrics and Gynecology of a tertiary care academic hospital. Sixty premenopausal and postmenopausal women who presented with AUB underwent TVS, SIS, and hysteroscopy. The presence of focal abnormality and the type of abnormality, i.e., polyp, submucous myoma, and endometrial hyperplasia, were noted. The results of TVS and SIS were compared with hysteroscopy. RESULTS: On hysteroscopy, 76.67 % (n = 46) patients were diagnosed with intra cavity abnormalities. SIS showed sensitivity, specificity, PPV, and NPV of 89.1, 100, 100, and 73.7 %, respectively. In comparison, TVS showed sensitivity, specificity, PPV, and NPV of 43.48, 78.57, 86.96, and 29.73 %, respectively. CONCLUSIONS: SIS was found to be more sensitive and specific than TVS in detection of intra cavity abnormalities.
Authors: P Schwärzler; H Concin; H Bösch; A Berlinger; K Wohlgenannt; W P Collins; T H Bourne Journal: Ultrasound Obstet Gynecol Date: 1998-05 Impact factor: 7.299