Title: Analyzing the Role of Saline Infusion Sonography in the Characterization of Endometrial Pathologies
Authors: Innisai.A, Abhilash Babu T.G, Daisy Joseph V, Nandhini S, Amilu Elsa Varghese, Vivek K
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.132
Abstract
Background: Endometrial abnormalities are significant causes of abnormal uterine bleeding (AUB). Transvaginal sonography (TVS) can depict the various causes for abnormal uterine bleeding with better clarity, when compared to a trans abdominal scan. The disadvantage is that TVS depicts all the endometrial causes of abnormal uterine bleeding as endometrial thickening either focal or diffuse or as endometrial irregularities. Saline infusion sonography (SIS) or sonohysterography is an innovative technique by which instillation of fluid into endometrial cavity distends the endometrial cavity, separating the two layers and better depicting the endometrial lesion.
Materials and Method: A prospective study was conducted in 53 patients with abnormal uterine bleeding and infertility, in the department of Radiodiagnosis, Government Medical college, Thrissur during the period of June 2009 to May 2010
Results: 50 patients with abnormal uterine bleeding were included in the study among them 11were in postmenopausal group. In 3 patients sonohysterography was unsuccessful due to cervical stenosis and patulous cervix. The overall sensitivity, specificity, positive predictive value and negative predictive value of the procedure in this study were 92.8%, 81.8%,86% 90% respectively.
Conclusion: Sonohysterosalpingography can distinguish focal from diffuse pathology reliably and has become a crucial imaging test in the triage of postmenopausal bleeding and in premenopausal patients with dysfunctional uterine bleeding or infertility.
Keywords: Abnormal Uterine bleeding, Sonohysterosalpingography, endometrial polyp, endometrial hyperplasia.
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