子宫超声造影与宫腔镜检查对良性子宫腔内病变诊断准确性的比较

Diagnostic accuracy of sonohysterography vs hysteroscopy in benign uterine endocavitary findings.

作者信息

Zinna M, Gentile M, Torcia F, Bianchi P, Cozza G, Marziani R, Milazzo G N, Catalano A, Di Properzio M, Manzara F, Schimberni M, Caserta D, Frega A

机构信息

Department of Gynecological, Obstetric and Urological Sciences, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2015;19(3):365-71.

PMID:25720704

Abstract

OBJECTIVE

To compare diagnostic accuracy of sonohysterography vs hysteroscopy in patients with benign uterine endocavitary findings.

PATIENTS AND METHODS

This retrospective study evaluated 202 patients submitted to sonohysterography after transvaginal ultrasound examination suspicious for uterine endocavitary findings. Cytological sample was taken and analyzed from the fluid used to distend the uterine cavity. Of 202 patients enrolled for this study, 86 patients underwent gynaecological surgery, of whom 77 were treated with operative hysteroscopy and 9 with other gynaecological surgical techniques. Statistical analysis was performed to evaluate diagnostic agreement between sonohysterography vs hysteroscopy and cytology vs histology.

RESULTS

Diagnostic concordance between sonohysterography and hysteroscopy was significant (k value 0.87). The correlation between cytological and histological findings had a moderate level of concordance (k value 0.49).

CONCLUSIONS

Sonohysterography provides a diagnostic accuracy as well as hysteroscopy, therefore, it could be considered an alternative procedure in the diagnosis of benign uterine endocavitary findings.

摘要

目的

比较子宫声学造影与宫腔镜检查对子宫腔内良性病变的诊断准确性。

患者与方法

本回顾性研究评估了202例经阴道超声检查怀疑子宫腔内有病变而接受子宫声学造影的患者。采集用于扩张子宫腔的液体进行细胞学样本分析。在参与本研究的202例患者中，86例接受了妇科手术，其中77例行宫腔镜手术，9例行其他妇科手术技术。进行统计学分析以评估子宫声学造影与宫腔镜检查以及细胞学与组织学之间的诊断一致性。