No abstract

Aim of the work: The aim of this study is to evaluate the role of transvaginal ultrasonography and colour Doppler in postmenopausal bleeding. Patients and methods: In the study fifty female patients with their age ranging between 45 and 80 years were subjected to transvaginal US examination and transvaginal colour and pulsed Doppler examination. Results: All the malignant cases and 94.7% of the benign cases had endometrial thickness P5 mm, however 90% of the control group with the remaining of the benign cases (5.2%) had endometrial thickness <5 mm. The mean uterine artery RI and PI were lower in cases with PMB than in control cases and in cases with malignant causes than benign causes. The mean spiral artery RI & PI were lower in cases with benign than in cases with malignant causes of PMB. Conclusion: In conclusion, transvaginal colour Doppler as a noninvasive method has a significant place in the diagnostic procedures for evaluation of PMB. Transvaginal colour Doppler can help in differentiating benign from malignant endometrial changes.

No abstract

No abstract

Aim of the work: The aim of this work is to determine the role of venous Doppler Ultrasonography for the prediction of adverse perinatal outcome in ''intrauterine growth restricted fetus'', providing the obstetrician with additional information about the time frame and significance of the IUGR to help determine the optimal time of delivery. Patients and methods: Sixty pregnant females with their age ranging between 28 and 35 years, gestational age between 27 and 37 weeks of gestation were enrolled in the study. All patients in the study were subjected to Doppler examination of the umbilical vein (UV), Ductus venosus (DV), right hepatic vein (HV) and umbilical artery (UA). Results: Abnormal UA Doppler was found in 40 patients. Abnormal DV Doppler was found in 40 patients. Abnormal UV Doppler was found in 10 patients. Abnormal Rt. HV Doppler was found in 20 patients. All parameters studied were strongly related to perinatal mortality, however, none had 100% sensitivity, the pulsatility index in the Rt. HV and DV were the best single indices to use in the prediction of perinatal mortality. Conclusion: We observed that venous Doppler is superior to arterial Doppler in predicting poor perinatal outcome and that the abnormal equivocal BPP scoring significantly correlated with adverse outcome. We also, concluded that multi-vessel Doppler Ultrasonography and BPP can Abbreviations: UV, umbilical vein; DV, Ductus venosus; HV, hepatic vein; UA, umbilical artery; PI, pulsatility index; IUGR, intrauterine growth retardation; EDV, end diastolic velocity; RF, reversed flow; AEDF, absent end diastolic flow; REDF, reversed end diastolic flow; FGR, fetal growth restriction; A/R, absent or reversed flow; pH, power of hydrogen; BPP, biophysical profile effectively stratify IUGR fetuses with placental vascular insufficiency into risk categories. Fetal deterioration appears to be independently reflected in these two testing modalities; their combined use is likely to be complementary.