The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings
Yıl: 2021 Cilt: 4 Sayı: 2 Sayfa Aralığı: 154 - 159 Metin Dili: İngilizce DOI: 10.32322/jhsm.852579 İndeks Tarihi: 02-08-2021
The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings
Öz: Aim: To establish the accuracy of transvaginal ultrasonography, saline infusion sonohysterography and hysteroscopy indiagnosing uterine pathology in patients with abnormal uterine bleeding.Material and Method: In our study, Transvaginal ultrasonography (TVUSG), saline infusion sonohysterography (SIS) andhysteroscopy were applied to 60 patients in the reproductive period, who did not use any contraception method other thancondom, who did not have chronic and systemic diseases, who applied to our clinic with abnormal uterine bleeding. Dilatation& Curettage (D&C) was applied to all patients after the procedure. Histopathology results obtained with D&C were comparedwith those obtained with TVUSG, SIS and hysteroscopy.Results: Histopathologically, 28 patients (46.7%) endometrial polyp, 4 patients (6.7%) submucous myoma, 10 patients (16.7%)endometrial hyperplasia was in the form of endometrial changes due to cycle irregularities in 18 patients (30%). The sensitivity,specificity, positive and negative predictive values for detection of intracavitary pathology by transvaginal sonography were71.42%, 77.78%, 88.23%, 83.85%. The values determined by saline infusion sonohysterography were respectively 88.89%,90.48%, 80.00%, 95.0% and by hysteroscopy were respectively 100%, 90.00%, 95,24%, 100%.Conclusion: TVUSG and SIS is a cheaper, easier and highly diagnostic value procedure for detecting endometrial pathologiessuch as endometrial polyps and submucous myomas. However, due to the high diagnostic values, low complication rates,direct biopsy and simultaneous treatment, we believe that hysteroscopy will maintain it’s ‘gold standard’ feature in the diagnosisand treatment of endometrial pathologies for many years.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductiveage. FIGO Working Group on Menstrual Disorders. Munro MG, Critchley HO, Broder MS, Fraser IS. Int J Gynaecol Obstet 2011; 113: 3-13.
- 2. Hillard PJA. Benign diseases of the female reproductive tract: symptoms and signs. In: Berek JS, ed. Novaks Gynecology. 13th ed. Philadelphia: Lippincott Williams Wilkins; 2002. p.351-420.
- 3. Stovall T, Soloman S, Ling F. Endometrial sampling prior to hysterectomy. Obstet Gynecol 1989; 73: 405-9.
- 4. Cacciatore B, Ramsay T, Lehtovirta P, Ylöstalo P. Transvaginal sonography and hysteroscopy in postmenopausal bleeding. Acta Obstet Gynecol Scand 1994; 73: 413-16.
- 5. Oral Ö, Kayabaşoğlu F. Operatif Histeroskopi. Histeroskopi: Klinik uygulamalar ve güncel yaklaşımlar. Özay Oral, Furkan Kayabaşoğlu. İstanbul, Türkiye: İstanbul Tıp Kitabevi; 2010.s: 61- 79.
- 6. Wolman I, Groutz A, Gordon D, Kupfermine MJ, Lessing JB, Jaffa AJ. Timing of sonohysterography in menstruating women. Gynecol Obstet Invest 1999; 48: 254-8.
- 7. Parsons AK, Cullinan JA, Goldstein SR, Fleicher AC. 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 1996: Appleton&Lange
- 8. Akyol A. Obezite ve kadın üreme sağlığı. Firat Med J 2018; 23: 48-53.
- 9. Ward KK, Roncancio AM, Shah NR, et al. The risk of uterine malignancy is linearly associated with body mass index in a cohort of US women. Am J Obstet Gynecol 2013; 209: 579.e1-5.
- 10.Yang TY, Cairns BJ, Allen N, Sweetland S, Reeves GK, Beral V. Postmenopausal endometrial cancer risk and body size in early life and middle age: Prospective cohort study. Br J Cancer 2012; 107: 169-75.
- 11.Jeong NH, Lee JM, Lee JK, et al. Role of body mass index as a risk and prognostic factor of endometrioid uterine cancer in Korean women. Gynecol Oncol 2010; 24-8.
- 12.World Cancer Research Fund/American Institute for Cancer Research. Continuous Update Project Report. Food, Nutrition, Physical Activity, and the Prevention of Endometrial Cancer. 2013. (Erişim tarihi: 16.04.2020 https://www.wcrf.org/sites/ default/files/Endometrial-Cancer-2013-Report.pdf.)
- 13.Munro MG, Critchley HOD, Fraser IS. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J Gynecol Obstet 2018; 143: 393–408.
- 14.de Vries LD, Dijkhuizen FP, Mol BW, et al. Comparison oftransvaginal sonography, saline infusion sonography, and hysteroscopy in premenopausal women with abnormal uterine bleeding. J Clinl.Iltrasound 2000; 28: 217-23.
- 15.Dijkhuizen FP, Brolmann HA, Potters AE, et al. The accuracy oftvusg in the diagnosis of endometrial abnormalities. Obstet Gynecol 1996; 87: 345-9.
- 16.Dijkhuizen FP, de Vries LD, Mol BW et al. Comparison of transvaginal ultrasonography and saline infusion sonography for the detection of intraeavitary abnormalities in premenopausal women. Ultrasound Obstet Gynecol 2000; 15: 372-6.
- 17.Williams CD, Mashburn PB. A prospeetive study oftransvaginal hydrosonography in the evaluation of abnormal uterine bleeding. Am J Obstet Gynecol 1993; 179: 292-4.
- 18.Ahmet K, Erdin İ, Hakan KE, Can T, Figen T. Anormal uterin kanamalı kadınların değerlendirilmesinde, TVUSG, HSG ve endometrial biyopsinin karşılaştırılması. TJOD 2005; 2: 327-31.
- 19.Garutti G, Sambrurıi I, Cellarıi F, et al. Hysteroscopy and transvaginal ultrasonography in postmenopausal women with uterine bleeding. Int J Gynecol Obstet 1999; 65: 25-33.
- 20.Garuti G, Sambruni I, Colonnelli M, et al. Accuracy of hysteroseopy in predicting histopathology of endometrium in 1500 women. J Am Assoe Gyneeol Laparosc 2001; 8: 207-13.
- 21.Lo KWK, Yuen PM.The role of outpatient diagnostic hysteroseopy in identifying anatomie pathologyand histopathology in the endometrial eavity. J Am Assoc Gynecol Laparoscopist 2000; 7: 381-5.
- 22.Ben-Yehuda OM, Kim YB, Leuchter RS. Does hysteroscopy improve upon the sensitivity of dilatation and curettage in the diagnosis of endometrial hyperplasia or carcinoma?. Gynecol Oncol 1998; 68: 4-7.
- 23.Fukuda M, Shimizu T, Fukuda K, et al. Transvaginal hysterosonography for differential diagnosis between submucous and intramural myoma. Gynecol Obstet Invest 1999; 35: 236-9.
- 24.Wanderley M da S, Álvares MM, Vogt M de FB, et al. Accuracy of transvaginal ultrasonography, hysteroscopy and uterine curettage in evaluating endometrial pathologies. Rev Bras Ginecol E Obstetrícia 2016; 38: 506–11.
APA | savas ozolcay s, ozolcay o, Şık B (2021). The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. , 154 - 159. 10.32322/jhsm.852579 |
Chicago | savas ozolcay sifa ayse,ozolcay ozan,Şık Bulat Aytek The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. (2021): 154 - 159. 10.32322/jhsm.852579 |
MLA | savas ozolcay sifa ayse,ozolcay ozan,Şık Bulat Aytek The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. , 2021, ss.154 - 159. 10.32322/jhsm.852579 |
AMA | savas ozolcay s,ozolcay o,Şık B The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. . 2021; 154 - 159. 10.32322/jhsm.852579 |
Vancouver | savas ozolcay s,ozolcay o,Şık B The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. . 2021; 154 - 159. 10.32322/jhsm.852579 |
IEEE | savas ozolcay s,ozolcay o,Şık B "The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings." , ss.154 - 159, 2021. 10.32322/jhsm.852579 |
ISNAD | savas ozolcay, sifa ayse vd. "The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings". (2021), 154-159. https://doi.org/10.32322/jhsm.852579 |
APA | savas ozolcay s, ozolcay o, Şık B (2021). The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. Journal of health sciences and medicine (Online), 4(2), 154 - 159. 10.32322/jhsm.852579 |
Chicago | savas ozolcay sifa ayse,ozolcay ozan,Şık Bulat Aytek The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. Journal of health sciences and medicine (Online) 4, no.2 (2021): 154 - 159. 10.32322/jhsm.852579 |
MLA | savas ozolcay sifa ayse,ozolcay ozan,Şık Bulat Aytek The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. Journal of health sciences and medicine (Online), vol.4, no.2, 2021, ss.154 - 159. 10.32322/jhsm.852579 |
AMA | savas ozolcay s,ozolcay o,Şık B The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. Journal of health sciences and medicine (Online). 2021; 4(2): 154 - 159. 10.32322/jhsm.852579 |
Vancouver | savas ozolcay s,ozolcay o,Şık B The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings. Journal of health sciences and medicine (Online). 2021; 4(2): 154 - 159. 10.32322/jhsm.852579 |
IEEE | savas ozolcay s,ozolcay o,Şık B "The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings." Journal of health sciences and medicine (Online), 4, ss.154 - 159, 2021. 10.32322/jhsm.852579 |
ISNAD | savas ozolcay, sifa ayse vd. "The place of transvaginal ultrasonography saline infusion sonohysterography and hysteroscopy in the diagnosis of abnormal uterin bleedings". Journal of health sciences and medicine (Online) 4/2 (2021), 154-159. https://doi.org/10.32322/jhsm.852579 |