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COLOR DOPPLER TRANSVAGINAL ULTRASOUND FOR DETECTING INTRAUTERINE DISORDERS IN PATIENTS WITH ABNORMAL UTERINE BLEEDING
Angela Pascual
Betlem Graupera
Francisco Tresserra
Alicia Ubeda
Lourdes Hereter
Ignacio Rodriguez
Pedro J. Grases
Sažetak
Purpose. To evaluate the role of colour Doppler transvaginal ultrasonography (CDTU) in detection of intrauterine pathology in those patients with abnormal uterine bleeding. Material and methods. 272 patients with abnormal uterine bleeding were evaluated by color Doppler transvaginal ultrasonography searching for intrauterine pathology. All patients underwent hysterocopic studies to evaluate ultrasonographic findings. Ultrasonographic variables considered were: endometrial thickness, gray-scale and color Doppler sonographic findings, resistence index and pulsatility index. Results. CDTU showed intrauterine abnormalities in 142 patients (52.2%) being the polyps (82 cases) and myomas (41 cases) the most frequent. Hysteroscopy revealed abnormalities in 149 women, 125 of them showing alterations in CDTU. The sensitivity is of 83.9% (CI: 76.8–89.2), the specificity of 86.2% (CI: 78.5–91.5), the predictive positive value of 88.0% (CI: 81.3–92.7) and the predictive negative value of 81.5% (CI: 73.6–87.6). The sensitivity of CDTU for the diagnosis of polyp was 72.8% (CI: 61.6–81.9) and for the diagnosis of myoma 85.7% (CI: 70.8–94.1). Conclusion. CDTU can be used to discriminate women with abnormal uterine bleeding that should undergone to hysteroscopy for a definitive diagnosis.
Ključne riječi
intrauterine pathology; abnormal uterine bleeding; color Doppler transvaginal ultrasonography; hysteroscopy
Hrčak ID:
15795
URI
Datum izdavanja:
1.12.2005.
Posjeta: 5.673 *