Malinova M
Akush Ginekol (Sofiia). 1999;38(1):36-8.
To assess the value of Transvaginal sonohysterography (SHG) in the detection of endometrial pathology in patients with postmenopausal uterine bleeding, without visualization of the endometrial on the Transvaginal ultrasonography (TVS).
Sixty postmenopausal patients with abnormal uterine bleeding, without sonographic visualization of the endometrium on the Transvaginal ultrasonography underwent sonohysterography, diagnostic hysteroscopy and curettage.
After comparing the hysteroscopic and sonohysterographic results, Sonohysterography showed a sensitivity of 100%, specificity of 94, accuracy of 95%, positive predictive value of 85% and negative predictive value of 100%. Hysteroscopy showed a sensitivity of 85%, specificity of 100%, accuracy of 95%, positive predictive value of 100% and negative predictive value of 94%.
Transvaginal Sonohysterography is an easy, save and the most accurate technique for detecting endometrial pathology and endoluminal masses.
评估经阴道子宫声学造影(SHG)在绝经后子宫出血患者中,经阴道超声检查(TVS)未显示子宫内膜情况下检测子宫内膜病变的价值。
60例绝经后子宫异常出血患者,经阴道超声检查未显示子宫内膜,接受了子宫声学造影、诊断性宫腔镜检查和刮宫术。
比较宫腔镜检查和子宫声学造影结果后,子宫声学造影显示敏感性为100%,特异性为94%,准确性为95%,阳性预测值为85%,阴性预测值为100%。宫腔镜检查显示敏感性为85%,特异性为100%,准确性为95%,阳性预测值为100%,阴性预测值为94%。
经阴道子宫声学造影是一种检测子宫内膜病变和腔内肿物的简便、安全且最准确的技术。