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The value of transvaginal sonography with and without saline instillation in the diagnosis of uterine pathology in pre‐ and postmenopausal women with abnormal bleeding or suspect sonographic findings
Author(s) -
Bronz L.,
Suter T.,
Rusca T.
Publication year - 1997
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.1997.09010053.x
Subject(s) - medicine , metrorrhagia , obstetrics and gynaecology , gynecology , transvaginal ultrasound , transvaginal sonography , obstetrics , radiology , ultrasound , pregnancy , population , environmental health , biology , family planning , research methodology , genetics
In this prospective study, 139 patients., 83 premenopausal patients with abnormal uterine bleeding and 56 postmenopausal patients either with metrorrhagia (33) or a suspect sonographic finding (23), were examined preoperatively with transvaginal sonography (TVS) and saline contrast hysterosonography (SCHS). The histological results, obtained by bysteroscopy, were compared with the pre‐operative findings. Uterine pathology (benign polyps, submucous fibroids, endometrial byperplasia and carcinoma) was found in 74.7% and 76.8% of the pre‐ and postmenopausal patients, respectively. TVS and SCHS are very sensitive at diagnosing uterine pathology, the latter being more specific and enabling better surgical management and a reduction in unnecessary interventions. Copyright © 1997 International Society of Ultrasound in Obstetrics and Gynecology