[Comparison of ultrasonographic and hysteroscopic results in perimenopausal metrorrhagias]. / Confrontation des résultats échographiques et hystéroscopiques dans les métrorragies périménopausiques.
Tunis Med
; 79(4): 238-41, 2001 Apr.
Article
en Fr
| MEDLINE
| ID: mdl-11515484
ABSTRACT
84 perimenopausal women with uterine bleeding underwent transvaginal ultrasonography and hysteroscopy. Sonographic and hysteroscopic findings have been evaluated on the basis of specimens obtained from either endometrial biopsy, hysterectomy or operative hysteroscopy. Sensitivity, specificity, positive and negative predictive value of hysteroscopy and transvaginal ultrasonography were calculated. Hysteroscopy had 91.6% sensitivity, 83.3% specificity, 93.2% positive predictive value and 80% negative predictive value in the diagnosis of intrauterine abnormality, whereas transvaginal ultrasonography had only 67.3% sensitivity, 87.5% specificity, 89.7% positive predictive value and 62.2% negative predictive value. In consequence hysteroscopy is better than transvaginal sonography concerning only the sensitivity (p < 0.01). Transvaginal ultrasonography seems to be an excellent initial diagnostic method, but hysteroscopy is a highly accurate means of diagnosing the cause of excessive uterine bleeding.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Histeroscopía
/
Ultrasonografía
/
Premenopausia
/
Metrorragia
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Middle aged
Idioma:
Fr
Revista:
Tunis Med
Año:
2001
Tipo del documento:
Article