Gel instillation sonohysterography (GIS) and saline contrast sonohysterography (SCSH): comparison of two diagnostic techniques

被引:18
作者
de Vaate, A. J. M. Bij [1 ]
Brolmann, H. A. M. [1 ]
van der Slikke, J. W. [1 ]
Emanuel, M. H. [2 ]
Huirne, J. A. F. [1 ]
机构
[1] VU Univ Med Ctr Amsterdam, Dept Obstet & Gynecol, NL-1081 HV Amsterdam, Netherlands
[2] Spaarne Hosp, Dept Obstet & Gynecol, Hoofddorp, Netherlands
关键词
gel instillation sonohysterography; GIS; intrauterine abnormalities; saline contrast sonohysterography; SCSH; ultrasound;
D O I
10.1002/uog.7594
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Objective To compare gel instillation sonohysterography (C IS) with saline contrast sonohysterography (SCSH) as diagnostic methods for the evaluation of the uterine cavity. Methods A prospective cohort study was performed at the Department of Obstetrics and Gynecology of the VU University Medical Center, Amsterdam, between September 2007 and April 2008. We included 65 women suspected of having an intrauterine abnormality with an indication for SCSH/GIS. First SCSH and subsequently GIS were performed in all women. Distension of the uterine cavity, image quality, visualization of intrauterine abnormalities and pain experienced on a visual analog scale (VAS score) were recorded for both procedures. Results The mean distension with GIS was 9.0 mm and with SCSH it was 8.5 mm (P = 0.15). The mean image quality, on a scale from 0 to 5, for SCSH was 4.0 and for GIS it was 3.6 (P = 0.01). No difference was found for the visualization of intrauterine abnormalities, and the VAS scores for pain experienced on SCSH and GIS were 1.5 and 1.6, respectively (P = 0.62). Conclusions The image quality of SCSH is slightly better than that of GIS. This difference is likely to be attributable to the presence of air bubbles in the gel. The small difference in uterine cavity distension in favor of GIS and comparable stable distension during at least 4 min make GIS a suitable alternative for SCSH if air bubbles can be prevented. Copyright (C) 2010 ISUOG. Published by John Wiley & Sons, Ltd.
引用
收藏
页码:486 / 489
页数:4
相关论文
共 5 条
[1]   The clinical value of 3-dimensional saline infusion sonography in addition to 2-dimensional saline infusion sonography in women with abnormal uterine bleeding -: Work in progress [J].
de Kroon, CD ;
Louwé, LA ;
Trimbos, JB ;
Jansen, FW .
JOURNAL OF ULTRASOUND IN MEDICINE, 2004, 23 (11) :1433-1440
[2]   Saline contrast hysterosonography in abnormal uterine bleeding: a systematic review and meta-analysis [J].
de Kroon, CD ;
de Bock, GH ;
Dieben, SWM ;
Jansen, FW .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2003, 110 (10) :938-947
[3]   Comparison of transvaginal ultrasonography and saline infusion sonography for the detection of intracavitary abnormalities in premenopausal women [J].
Dijkhuizen, EPHLJ ;
De Vries, LD ;
Mol, BWJ ;
Brölmann, HAM ;
Peters, HM ;
Moret, E ;
Heintz, APM .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2000, 15 (05) :372-376
[4]   Gel instillation sonohysterography: first experience with a new technique [J].
Exalto, Niek ;
Stappers, Corry ;
van Raamsdonk, Louisa A. M. ;
Emanuel, Mark Hans .
FERTILITY AND STERILITY, 2007, 87 (01) :152-155
[5]   Ultrasonography-based triage for perimenopausal patients with abnormal uterine bleeding [J].
Goldstein, SR ;
Zeltser, I ;
Horan, CK ;
Snyder, JR ;
Schwartz, LB .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 177 (01) :102-108