Abd El Fattah Eman Aly
Department of Obstetrics and Gynecology, Faculty of Medicine, Shatby Maternity Hospital, Alexandria University, Alexandria, Egypt.
Obstet Gynecol Int. 2017;2017:5869028. doi: 10.1155/2017/5869028. Epub 2017 May 30.
Endometriosis is strongly associated with infertility. Endometrial polyps are prevalent in infertile women and they have similar pathological characteristics to endometriosis, suggesting a possible association. Uterine malformations as uterine septum and hypoplastic uterus are also linked to endometriosis. Hysterosalpingogram and transvaginal ultrasonography are used to diagnose endometrial lesions. Hysteroscopy can detect small lesions that might be missed. Recently, 4D ultrasonography is being used, but which is superior has not been established yet. We aim to compare 4D ultrasonography to office hysteroscopy in evaluating uterine cavity in cases with endometriosis; also we aim at correlating these findings with the stage of endometriosis. 50 cases of endometriosis diagnosed by laparoscopy were randomly selected from El Shatby fertility clinic, Alexandria University, Egypt, with exclusion of cases with any previous intrauterine surgery or any hormonal treatment. Transvaginal 4D ultrasonography and office hysteroscopy were done. 4D ultrasonography agreed with office hysteroscopy in diagnosing abnormal uterine findings in 14 cases and four additional cases were diagnosed by hysteroscopy alone. . Endometrial polyps, septate uterus, and hypoplastic uterus are more prevalent among infertile women who happen to have endometriosis. 4D ultrasonography and office hysteroscopy are equally successful in assessing the uterine cavity.
子宫内膜异位症与不孕症密切相关。子宫内膜息肉在不孕女性中很常见，且它们具有与子宫内膜异位症相似的病理特征，提示可能存在关联。子宫畸形如子宫纵隔和子宫发育不全也与子宫内膜异位症有关。子宫输卵管造影和经阴道超声检查用于诊断子宫内膜病变。宫腔镜检查可检测到可能被遗漏的小病变。近来，四维超声检查正在被应用，但哪种方法更具优势尚未确定。我们旨在比较四维超声检查与门诊宫腔镜检查在评估子宫内膜异位症患者子宫腔方面的效果；同时我们旨在将这些检查结果与子宫内膜异位症的分期相关联。从埃及亚历山大大学埃尔沙特比生育诊所随机选取50例经腹腔镜诊断为子宫内膜异位症的患者，排除既往有任何子宫内手术史或接受过任何激素治疗的病例。进行经阴道四维超声检查和门诊宫腔镜检查。四维超声检查与门诊宫腔镜检查在诊断子宫异常方面有14例结果一致，另有4例仅通过宫腔镜检查得以诊断。子宫内膜息肉、纵隔子宫和子宫发育不全在患有子宫内膜异位症的不孕女性中更为常见。四维超声检查和门诊宫腔镜检查在评估子宫腔方面同样有效。
