Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography and hysteroscopy

被引：51

作者：

Bingol, B. ^{[1
]}

Gunenc, Z. ^{[2
]}

Gedikbasi, A. ^{[3
]}

Guner, H. ^{[4
]}

Tasdemir, S. ^{[5
]}

Tiras, B. ^{[4
]}

机构：

[1] Istanbul Bilim Univ, Gayrettepe Florence Nightingale Hosp, IVF Ctr, Istanbul, Turkey

[2] Istanbul Maltepe Univ, Dept Obstet & Gynecol, Istanbul, Turkey

[3] Istanbul Bakirkoy Matern & Children Dis Hosp, Dept Obstet & Gynecol, Istanbul, Turkey

[4] Gazi Univ, Dept Obstet & Gynecol, Ankara, Turkey

[5] IVF Ctr, Istanbul, Turkey

来源：

JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2011年 / 31卷 / 01期

关键词：

Accuracy; fertility control; HSG; hysteroscopy; SIS; TVS; UTERINE CAVITY; POSTMENOPAUSAL WOMEN; CONTRAST SONOHYSTEROGRAPHY; INFERTILE PATIENTS; ULTRASONOGRAPHY; HYSTEROSALPINGOGRAPHY; HYSTEROSONOGRAPHY; PREMENOPAUSAL; ENDOMETRIUM;

D O I：

10.3109/01443615.2010.532246

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We aimed to compare the accuracy of transvaginal sonography (TVS), saline infusion sonohysterography (SIS) and hysteroscopy (HS) for uterine pathologies among infertile women. A total of 346 patients were selected for operative hysteroscopy, following SIS after TVS. SIS was performed with a Cook Soft 500 IVF catheter. Sensitivity, specificity, positive and negative predictive values (PPV, NPV) were calculated to compare the accuracy of TVS, SIS and hysteroscopy for uterine abnormalities. SIS showed a sensitivity of 87%, specificity of 100% and PPV of 100% for endometrial hyperplasia, and a sensitivity and NPV of 100% for polypoid lesions. For submucosal myoma SIS showed a sensitivity of 99% with PPV of 96%. Hysteroscopy had a sensitivity, specificity, PPV and NPV of 98%, 83%, 96% and 91%, respectively for overall uterine pathologies. Finally, SIS seems to be superior to TVS, for uterine pathologies, with respect to hysteroscopy as the gold standard.

引用

页码：54 / 58

页数：5

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