Diagnosis value of hysteroscopy for chronic endometritis.

ABSTRACT

OBJECTIVE: To investigate the correlation of hysteroscopy in the diagnosis of chronic endometritis (CE) with histology and assess its reliability. MATERIALS AND METHODS: Two hundred eleven patients with CE diagnosed by hysteroscopy were selected as the case group, and 30 cases without endometritis diagnosed by hysteroscopy were selected as the control group. Hysteroscopy and endometrial biopsy were carried out in all patients with endometrial hyperplasia. RESULTS: Among 211 patients with CE diagnosed by hysteroscopy, 200 cases were confirmed histologically. There was a significant correlation (p < 0.001) between characterization of CE by hysteroscopy and pathological grading. In 173 cases (86.5%), both histological and hysteroscopic grading were consistent (Kappa value = 0.62). CONCLUSION: Hysteroscopy is reliable in diagnosing CE and it can assess clinical effectiveness of antibiotic therapy.