Bingol B, Gunenc Z, Gedikbasi A, Guner H, Tasdemir S, Tiras B
Gayrettepe Florence Nightingale Hospital, Istanbul Bilim University, Istanbul, Turkey.
J Obstet Gynaecol. 2011;31(1):54-8. doi: 10.3109/01443615.2010.532246.
We aimed to compare the accuracy of transvaginal sonography (TVS), saline infusion sonohysterography (SIS) and hysteroscopy (HS) for uterine pathologies among infertile women. A total of 346 patients were selected for operative hysteroscopy, following SIS after TVS. SİS was performed with a Cook Soft 500 IVF catheter. Sensitivity, specificity, positive and negative predictive values (PPV, NPV) were calculated to compare the accuracy of TVS, SIS and hysteroscopy for uterine abnormalities. SIS showed a sensitivity of 87%, specificity of 100% and PPV of 100% for endometrial hyperplasia, and a sensitivity and NPV of 100% for polypoid lesions. For submucosal myoma SIS showed a sensitivity of 99% with PPV of 96%. Hysteroscopy had a sensitivity, specificity, PPV and NPV of 98%, 83%, 96% and 91%, respectively for overall uterine pathologies. Finally, SIS seems to be superior to TVS, for uterine pathologies, with respect to hysteroscopy as the gold standard.
我们旨在比较经阴道超声检查（TVS）、盐水灌注子宫声学造影（SIS）和宫腔镜检查（HS）在不孕女性子宫病变诊断中的准确性。共有346例患者在TVS检查后接受了SIS检查，之后进行了宫腔镜手术。SIS采用Cook Soft 500 IVF导管进行。计算敏感度、特异度、阳性预测值和阴性预测值（PPV、NPV）以比较TVS、SIS和宫腔镜检查对子宫异常的诊断准确性。SIS对子宫内膜增生的敏感度为87%，特异度为100%，PPV为100%，对息肉样病变的敏感度和NPV均为100%。对于黏膜下肌瘤，SIS的敏感度为99%，PPV为96%。宫腔镜检查对总体子宫病变的敏感度、特异度、PPV和NPV分别为98%、83%、96%和91%。最后，以宫腔镜检查作为金标准，在子宫病变方面，SIS似乎优于TVS。
