Comparação do ultrassom transvaginal e da histeroscopia ambulatorial no diagnóstico das doenças endometriais em mulheres menopausadas

Yela, Daniela Angerame; Ravacci, Simone Hidalgo; Monteiro, Ilza; Pereira, Kelly C. H. M.; Gabiatti, José Roberto Erbolato

doi:10.1590/s0104-42302009000500018

Cited by 14 publications

(10 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similar to the findings in this study, Mukhopadhayay et al found a high sensitivity (71.4%) and specificity (100.0%) for hysteroscopy for diagnosing polyps [14] with strong agreement with biopsy findings (k=0.81). Soguktas et al found better diagnostic value for hysteroscopy when compared to both saline infusion sonography and transvaginal ultrasonography in detecting uterine polyps; however, for detection of any uterine pathology, hysteroscopy and saline infusion sonography had similar efficacy but better than transvaginal ultrasonography [15] Similarly, Mathlouthi et al [16] and Yela et al [17] found diagnostic values in favor of hysteroscopy for the diagnosis of uterine pathologies. In the study by Yela et al, the specificity of TVU in particular was remarkably low (7.4%) for the detection of uterine disease [17] Kasraeian et al, examined the diagnostic value of transvaginal ultrasonography in non-bleeding postmenopausal women and found only moderate accuracy to diagnose uterine pathologies [18].…”

Section: Discussionmentioning

confidence: 99%

Impact on IVF outcome following Pre-IVF hysteroscopy and endometrial scratching

Jayakrishnan¹,

Maya²,

Nambiar³

2015

Obs Gyne Reivew J Obstet Gynecol

View full text Add to dashboard Cite

Background: Transvaginal ultrasonography and hysteroscopy are the tools to assess the inner architecture of the uterus.In India as such very few studies were conducted to see the effect of endometrial injury on the pregnancy outcome, so the current study was conducted to assess the efficacy of hysteroscopy in identifying the uterine pathologies and to assess the pregnancy rate following the endometrial scratching. Methods: A prospective cohort study was conducted during June 2012 to may 2015 at KJK Hospital, Trivandrum. All patients undergoing IVF in the said duration are scheduled for Pre IVF Hysteroscopy prior to the onset of periods. All the study population had undergone a transvaginal USG and hysteroscopy. Half of the study population (n=175) had underwent endometrial scratching and the occurrence of clinical pregnancy was compared among the group who had not undergone the endometrial scratching. Results: The sensitivity (100%) and specificity (85%) was much higher for hysteroscopy when compared with USG. There was a statistically significant difference in the occurrence of clinical pregnancy among the patients for whom endometrial scratching done when compared to those who had not undergone endometrial scratching (p<.0001). Conclusions: Through hysteroscopy, the intrauterine pathologies and structural uterine abnormalities that may be responsible for the failure of IVF can be detected and treated, resulting in improved pregnancy rates and the clinical pregnancy and implantation rates significantly increase after endometrial scratching in same cycle in patients with good-quality embryos.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact on IVF outcome following Pre-IVF hysteroscopy and endometrial scratching

Jayakrishnan¹,

Maya²,

Nambiar³

2015

Obs Gyne Reivew J Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Unlike premenopause women, many studies have studied the accuracy of TVS in diagnosing endometrial abnormalities especially EH among postmenopause women and has become an essential screening in gynecological practice in these women. 11 14 26 However, different studies have yielded different levels of sensitivity and specificity ranging from 59.7%–100% to 7.4%–91.7%, respectively. 14 20 27 28 29 30 31 32 In this study, we observed a high accuracy for TVS in diagnosing EH in postmenopause women with sensitivity, specificity, PPV and NPV of 100% for each.…”

Section: Discussionmentioning

confidence: 99%

“… 11 14 26 However, different studies have yielded different levels of sensitivity and specificity ranging from 59.7%–100% to 7.4%–91.7%, respectively. 14 20 27 28 29 30 31 32 In this study, we observed a high accuracy for TVS in diagnosing EH in postmenopause women with sensitivity, specificity, PPV and NPV of 100% for each. Similarly, a high NPV (99%) is reported for TVS in untreated postmenopausal women, 16 33 but there is reported poor NPV in some studies.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Role of transvaginal ultrasonography in diagnosing endometrial hyperplasia in pre- and post-menopause women

Shokouhi

2015

Niger Med J

View full text Add to dashboard Cite

Background:Abnormal uterine bleeding (AUB) is the most common presenting symptom of endometrial hyperplasia (EH). Transvaginal ultrasonography (TVS) is a diagnostic tool in the evaluation of AUB and EH with various sensitivity and specificity. However, the exact accuracy of TVS in diagnosing EH had not been evaluated. In this study, we aim to evaluate the accuracy of TVS in detecting EH.Materials and Methods:In this retrospective study, 120 women (mean age of 48.64 ± 6.74 years) with AUB with suspicious/or possible EH were evaluated. TVS and pathology findings of possible EH were recorded. Sensitivity, specificity, positive, and negative predictive value (PPV and NPV) was calculated.Results:Sixty-eight patients were premenopause, and 52 were postmenopause. TVS reported EH in 85 cases (70.83%). Pathology results showed EH in 85 cases (70.83%) including simple cystic hyperplasia in 82 cases, atypical, simple hyperplasia in one case and complex hyperplasia in two cases. Among these 85 cases, EH was confirmed by pathology in 81 cases. The accuracy, sensitivity, specificity, PPV, and NPV were 88.25%, 90.7%, 84%, 97.7%, and 84% in premenopause and 100% in postmenopause women.Conclusion:TVS is an appropriate diagnostic tool in premenopause and postmenopause women presenting with AUB, especially in detecting EH. However, further studies are needed to determine the exact accuracy of TVS in diagnosing TVS.

show abstract

“…Submucous myomas of the uterus, which mainly show spherical or hemispherical structures and protrude in the uterine cavity, are mostly characterized by a wide base, hypoechoic or isoechoic, and swing without the influence of contrast agents [ 13 ]. The uterine cavity was deformed, and some endometrial hyperechoic lines could be seen entangled on the surface of the fibroid protrusion, with a smooth front and disappearance of endometrial hyperechoic lines at the base [ 14 ]. Hysteroscopy is an emerging field that appears in the field of modern gynecology, and it is a product combining electro-optic, ultrasound, and medical treatment [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Value of Ultrasonography Combined with Hysteroscopy in Intrauterine Space‐Occupying Abnormalities

Xia

Jin

2022

Contrast Media & Molecular Imaging

View full text Add to dashboard Cite

The aim of this study was to analyze the diagnostic significance of ultrasonography combined with hysteroscopy for intrauterine space-occupying abnormalities. A total of 99 patients with uterine space-occupying abnormalities treated in hospitals were enrolled. The patients were divided into three groups according to different disease types: the submucosal myoma group, endometrial polyp group, and placenta residue group, with 33 patients in each group. The differences and diagnostic effects in intrauterine ultrasound, hysteroscopic findings, and surgical histopathology were observed in each group. Outcome measures: it was to compare the sensitivity, specificity, and accuracy of intrauterine ultrasound and angiography for intrauterine space-occupying lesions using surgical and pathological examination methods as the gold standard; the relationship between the location, number, size, appearance, and serosal layer of intrauterine lesions was clearly shown; the location, number, appearance, and echogenicity of space-occupying abnormalities under hysteroscopy were observed. The results showed that the diagnostic rates of endometrial polyps, submucous myoma, and residual placenta were 90.9%, 80.8%, and 72.7%, respectively. However, the sensitivity, specificity, and accuracy of ultrasonography in the diagnosis of endometrial polyps were 90.0%, 66.7%, and 87.9%, respectively; those of hysteroscopy in the diagnosis of endometrial polyps were 96.7%, 66.7%, and 93.9%, respectively; and combined diagnosis was 96.7%, 100.0%, 97.0%, 100.0%, and 75.0%. The sensitivity, specificity, and accuracy of ultrasonography in the diagnosis of submucous myoma of the uterus were 88.9%, 50.0%, and 81.8%, respectively; those of hysteroscopy in the diagnosis of submucous myoma of the uterus were 96.3%, 83.3%, and 93.9%, respectively; and combined diagnosis was 100.0%, 83.3%, 97.0%, 96.4%, and 100.0%. The sensitivity, specificity, and accuracy of ultrasonography in the diagnosis of uteroplacental remnants were 87.5%, 66.7%, and 81.8%, respectively; those of hysteroscopy in the diagnosis of uteroplacental remnants were 91.7%, 77.8%, and 87.9%, respectively; and combined diagnosis was 95.8%, 88.9%, 93.9%, 95.8%, and 88.9%. In summary, ultrasonography combined with hysteroscopy can improve the diagnostic sensitivity and accuracy for intrauterine space-occupying abnormalities.

show abstract

Comparação do ultrassom transvaginal e da histeroscopia ambulatorial no diagnóstico das doenças endometriais em mulheres menopausadas

Cited by 14 publications

References 17 publications

Impact on IVF outcome following Pre-IVF hysteroscopy and endometrial scratching

Impact on IVF outcome following Pre-IVF hysteroscopy and endometrial scratching

Role of transvaginal ultrasonography in diagnosing endometrial hyperplasia in pre- and post-menopause women

Diagnostic Value of Ultrasonography Combined with Hysteroscopy in Intrauterine Space‐Occupying Abnormalities

Contact Info

Product

Resources

About