Korean J Obstet Gynecol.  1999 Jan;42(1):48-52.

The efficacy of transvaginal sonography , saline infusion sonohysterography , and hysteroscopy for the evaluation of the patients with abnormal uterine bleeding

• Lee JY
• Kim YK

Abstract

OBJECTIVE
To evaluate prospectively the efficacy and accuracy of transvaginal sonography(TVS), saline infusion sonohysterography(SIS) and hysteroscopy in the exploration of the uterine cavity.
METHODS
71 consecutive patients were evaluated with SIS who showed abnormal TVS findings, using saline instilled through endocervically placed balloon catheter with concurrent vaginal sonography. Among them, 41 patients also underwent hysteroscopy and surgery. Transvaginal sonography, sonohysterography, hysteroscopy were compaired with pathologic reports.
RESULTS
Fifty-five of 71 sonohysterogram(77.5%) showed abnormal findings, Among them 41 patients have done hysteroscopy and biopsy. According to pathologic reports, sixteen patients were noted to have myoma(39.0%), twelve patients had polyps (21.3%), and both showed most frequent lesions. TVS, SIS, and hysteroscopy had a sensitivity of 94.4%, 91.1%, 94.4%, and a specificity of 40%, 42.8%, 60.0%, respectively and showed not so much different in detection rate. In case of submucosal myoma and polyps, hysteroscopy showed 100% sensitivity, and 92% specificity and showed much higher detection rate compared with SIS (81.2%, 92.0%).
CONCLUSION
Transvaginal sonography and sonohysterography are good office diagnostic test in case of detecting variable gynecologic intrauterine abnormalities.

Keyword

Transvaginal sonography; Saline infusion sonohysterography; Hysteroscopy; Abnormal uterine bleeding

MeSH Terms

Biopsy
Catheters
Diagnostic Tests, Routine
Humans
Hysteroscopy*
Myoma
Polyps
Prospective Studies
Sensitivity and Specificity
Uterine Hemorrhage*