Widrich T, Bradley L D, Mitchinson A R, Collins R L
Department of Gynecology, Cleveland Clinic Foundation, OH 44195, USA.
Am J Obstet Gynecol. 1996 Apr;174(4):1327-34. doi: 10.1016/s0002-9378(96)70680-4.
Intrauterine infusion of saline solution during transvaginal ultrasonography enhances visualization of the endometrium. We compared the accuracy and pain rating of saline infusion sonography with those of flexible office hysteroscopy.
The uterine cavities of 130 patients with abnormal bleeding were evaluated by two physicians in an office setting. Findings of endometrial polyps, submucous myomas, synechiae, endometrial hyperplasia, or cancer were recorded independently and subsequently compared. Patients rated their pain after each procedure.
Both procedures were performed in 113 of 130 patients. With saline infusion sonography pathologic findings were identified in 61 patients (54%). For all findings combined, sensitivity was 0.96 and specificity was 0.88, compared with hysteroscopy. The results of saline infusion sonography and hysteroscopy did not differ significantly (p = 0.18). The former was less painful for patients than hysteroscopy (p < 0.0001).
Saline infusion sonography is an accurate and well-tolerated method to evaluate abnormal uterine bleeding, compared with hysteroscopy.
经阴道超声检查时宫腔内注入生理盐水可增强子宫内膜的可视性。我们比较了生理盐水灌注超声检查与柔性门诊宫腔镜检查的准确性和疼痛评分。
在门诊环境中，由两名医生对130例异常出血患者的子宫腔进行评估。独立记录子宫内膜息肉、黏膜下肌瘤、粘连、子宫内膜增生或癌症的检查结果，随后进行比较。患者对每次检查后的疼痛进行评分。
130例患者中有113例接受了两种检查。生理盐水灌注超声检查在61例患者（54%）中发现了病理结果。与宫腔镜检查相比，综合所有检查结果，敏感性为0.96，特异性为0.88。生理盐水灌注超声检查和宫腔镜检查的结果无显著差异（p = 0.18）。前者对患者造成的疼痛比宫腔镜检查轻（p < 0.0001）。
与宫腔镜检查相比，生理盐水灌注超声检查是一种评估异常子宫出血的准确且耐受性良好的方法。
