Comparative Study between Diagnostic Accuracy of Hysteroscopy and 3D Ultrasound in Patient with Premenopasul Uterine Bleeding; Cost Effectiveness -Safety and Diagnostic Accuracy | ||
| Al-Azhar International Medical Journal | ||
| Volume 2024, Issue 5, May 2024 | ||
| DOI: 10.58675/2682-339X.2432 | ||
| Authors | ||
| Mohamed Alhagrasy1; Wael Taha1; Ahmed Elsoghayar2 | ||
| 1Obstetrics and Gynecology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt | ||
| 2Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Hysteroscopy and transvaginal ultrasonography (TVS) may be used to evaluate the uterine cavity. Premenopausal uterine hemorrhage may be caused by abnormalities of the uterine cavity, such as myomas and septum. Therefore, excluding intrauterine disease is critical before treating any unusual bleeding. Objective: To assess the diagnostic accuracy of 3D transvaginal ultrasound in identifying endometrial lesions compared to hysteroscopy in premenopausal women. Patients and Methods: One hundred women participated in this clinical investigation to compare diagnosis accuracy. Diagnostic hysteroscopy and two—and three-dimensional ultrasonography were used to assess all of the women. Dilation and curettage were performed on patients exhibiting abnormalities in their research, and the specimen was submitted to histology to confirm the diagnosis. Results: 3D U/S was more accurate in all lesions than hysteroscopy: 86.8%, 76.3%, and 88.9% vs. 94.0%, 90.3%, and 93.3%, respectively. Conclusion: It is recommended that diagnostic hysteroscopy be done consistently in situations of abnormal bleeding since it is the most accurate way for assessing cases of premenopausal uterine bleeding, with a greater cost and extremely little risk of consequences. | ||
| Keywords | ||
| Hysteroscopy; Ultrasound; Bleeding | ||
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