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KMID : 1201620090020020070
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Journal of Women s Medicine
2009 Volume.2 No. 2 p.70 ~ p.76
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The value of transvaginal sonography and sonohysterography in the determination of the cause of abnormal uterine bleeding
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Kim Sung-Joo
Rhim Chae-Chun
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Abstract
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Objective: To assess the diagnostic value and usefulness of transvaginal sonography (TVS) and sonohysterography (SHG) in the detection of uterine intracavitary lesion in abnormal uterine bleeding.
Methods: 105 patients with abnormal uterine bleeding were evaluated with TVS and SHG. The pathologic results were obtained by means of dilatation and curettage, hysteroscopy and hysterectomy. Diagnoses of TVS and SHG were compared with pathologic reports.
Results: The sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of TVS and SHG were 85.5%, 68.9%, 87.8%, 64.5%, and 80.9% vs. 94.7%, 82.8%, 93.5%, 85.7%, and 91.4%, respectively. SHG showed better results than TVS in the diagnoses of endometrial polyp and submucosal myoma. However, no statistical differences between TVS and SHG were found regarding the diagnosis of endometrial hyperplasia.
Conclusion: For diagnosis of uterine intracavitary lesions, SHG is superior to TVS. The proper use of SHG can reduce unnecessary surgical procedures and help the selection of the best surgery.
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KEYWORD
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Abnormal uterine bleeding, Transvaginal sonography, Sonohysterography, Hysteroscopy
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