Comparison of 3 dimensional sonohysterography versus hysteroscopy in
Premenopausal women with abnormal uterine bleeding
Department of Obstetrics & Gynecology, Ultrasound and Fetal care unit*, Ain Shams University, Cairo, Egypt.
ABSTRACT
Objectives: To compare between the diagnostic accuracy of 3D sonohysterography and hysteroscopy in detection of intracavitary uterine abnormalities in premenopausal women with abnormal uterine bleeding.
Patients & Methods: In this study fifty female patients complaining of abnormal uterine bleeding with their age ranged between 25-45 years old were assessed by 3-D sonohystrography for assessment of the endometrial cavity and the data obtained were compared with the results of diagnostic hysteroscopy .
Results:
Compared to hysteroscopy, 3D sonohysterography has a sensitivity of 81.25 % specificity of 100 % , positive predictive value of 100 % , negative predictive value of 75 % and …show more content…
Technique of Saline Infusion Sonohysterography (SIS):
The 3D- sonohysterography was scheduled in the proliferative phase of the menstrual cycle (day one post menstrual).
Antispasmodic and anti-inflammatory were given for the patients 30 minutes before the procedure.
The procedure was done in dorsal lithotomy position , the uterine cervix was cleaned with antiseptic solution (povidine –iodine) after insertion of standard bivalve speculum standard bivalve speculum , The upper cervical lip was grasped with a tenaculum, A pediatric Foley catheter (No. 8) was passed through the cervix into the endometrial cavity and its balloon was filled with 2 ml of sterile saline .
Then the tenaculum & the speculum were withdrawn and the 3D probe (6-9 MHzPhilips HD9 Ultrasound System, USA) was introduced. After this slow infusion of 5–15 mL of sterile saline solution was done to distend the endometrial
Premenopausal women with abnormal uterine bleeding
Department of Obstetrics & Gynecology, Ultrasound and Fetal care unit*, Ain Shams University, Cairo, Egypt.
ABSTRACT
Objectives: To compare between the diagnostic accuracy of 3D sonohysterography and hysteroscopy in detection of intracavitary uterine abnormalities in premenopausal women with abnormal uterine bleeding.
Patients & Methods: In this study fifty female patients complaining of abnormal uterine bleeding with their age ranged between 25-45 years old were assessed by 3-D sonohystrography for assessment of the endometrial cavity and the data obtained were compared with the results of diagnostic hysteroscopy .
Results:
Compared to hysteroscopy, 3D sonohysterography has a sensitivity of 81.25 % specificity of 100 % , positive predictive value of 100 % , negative predictive value of 75 % and …show more content…
Technique of Saline Infusion Sonohysterography (SIS):
The 3D- sonohysterography was scheduled in the proliferative phase of the menstrual cycle (day one post menstrual).
Antispasmodic and anti-inflammatory were given for the patients 30 minutes before the procedure.
The procedure was done in dorsal lithotomy position , the uterine cervix was cleaned with antiseptic solution (povidine –iodine) after insertion of standard bivalve speculum standard bivalve speculum , The upper cervical lip was grasped with a tenaculum, A pediatric Foley catheter (No. 8) was passed through the cervix into the endometrial cavity and its balloon was filled with 2 ml of sterile saline .
Then the tenaculum & the speculum were withdrawn and the 3D probe (6-9 MHzPhilips HD9 Ultrasound System, USA) was introduced. After this slow infusion of 5–15 mL of sterile saline solution was done to distend the endometrial