COMPARATIVE STUDY BETWEEN THREE DIMENSIONAL TRANSVAGINAL ULTRASONOGRAPHY (3D) AND HYSTEROSCOPY IN ABNORMAL UTERINE BLEEDING | ||||
The Egyptian Journal of Fertility of Sterility | ||||
Article 5, Volume 10, Issue 1, January 2006, Page 31-36 PDF (444.87 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/egyfs.2006.4995 | ||||
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Authors | ||||
Nassar. M.1; Salem H.2; Aboshady Y.3; Hassanin S.2; Sultan M2; Kandil I.2; Abdel Aziz A.4 | ||||
1International Islamic Center of population studies and Research - Department of Obstetrics &Gynecology, AI-Azhar University. | ||||
2Department of Obstetrics & Gynecology- Faculty of Medicine- Al-Azhar Universtiy. | ||||
3Department of Obstetrics and Gynecology Faculty of Medicine - AI-Azhar University (Assiutt branch) | ||||
4Department of Obstetrics and Gynecology Faculty of Medicine - AI-Azhar University (Assiutt branch), EI Galaa Teaching Hospital. | ||||
Abstract | ||||
Objective : To compare three-dimensional transvaginal sonography (3D-TYS) (non invasive) and hysteroscopy (minimally invasive) as a diagnostic tool in patients suffering from abnormal uterine bleeding (AUB). Design: A prospective randomized comparative study. Setting: This study has been conducted in the Obstetrics and Gynecology department at Bab-AI Shaaria, Al-Azhar University Hospitals - AI Azhar University, from March 2003 to May 2005. Patients & Methods; One hundred and thirty patients complaining of abnormal uterine bleeding were investigated by 3D transvaginal ultrasound and hysteroscopy. Data obtained were recorded, correlated and statistically analyzed. Results: Both hysteroscopy and 3D-TYS showed 100% sensitivity and specificity in diagnosing atrophic endometrium and suspecting malignancy. However, in cases of hyperplasia, 3D-TVS had the same 100% sensitivity hut less specificity than hysteroscopy. On the other hand, in cases of polyps 3D-TYS had less sensitivity and specificity than hysteroscopy. Conclusion: Both hysteroscopy (minimally invsasive) and 30-TYS have the same accuracy in diagnosing atrophic endometrium and suspected malignancy, but Hysterescopy is superior than 3D-TYS in diagnosing hyperplasia and polyps in patients suffering from AUB. | ||||
Keywords | ||||
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