COMPARATIVE STUDY BETWEEN THREE DIMENSIONAL TRANSVAGINAL ULTRASONOGRAPHY (3D) AND HYSTEROSCOPY IN ABNORMAL UTERINE BLEEDING

Document Type : Original Article

Authors

1 International Islamic Center of population studies and Research - Department of Obstetrics &Gynecology, AI-Azhar University.

2 Department of Obstetrics & Gynecology- Faculty of Medicine- Al-Azhar Universtiy.

3 Department of Obstetrics and Gynecology Faculty of Medicine - AI-Azhar University (Assiutt branch)

4 Department of Obstetrics and Gynecology Faculty of Medicine - AI-Azhar University (Assiutt branch), EI Galaa Teaching Hospital.

Abstract

Objective : To compare three-dimensional transvaginal sonography (3D-TYS) (non invasive) and hysteroscopy
(minimally invasive) as a diagnostic tool in patients suffering from abnormal uterine bleeding (AUB).
Design: A prospective randomized comparative study.
Setting: This study has been conducted in the Obstetrics and Gynecology department at Bab-AI Shaaria, Al-Azhar
University Hospitals - AI Azhar University, from March 2003 to May 2005.
Patients & Methods; One hundred and thirty patients complaining of abnormal uterine bleeding were investigated by
3D transvaginal ultrasound and hysteroscopy. Data obtained were recorded, correlated and statistically analyzed.
Results: Both hysteroscopy and 3D-TYS showed 100% sensitivity and specificity in diagnosing atrophic endometrium
and suspecting malignancy. However, in cases of hyperplasia, 3D-TVS had the same 100% sensitivity hut less
specificity than hysteroscopy. On the other hand, in cases of polyps 3D-TYS had less sensitivity and specificity than
hysteroscopy.
Conclusion: Both hysteroscopy (minimally invsasive) and 30-TYS have the same accuracy in diagnosing atrophic
endometrium and suspected malignancy, but Hysterescopy is superior than 3D-TYS in diagnosing hyperplasia and
polyps in patients suffering from AUB.

Keywords

The Egyptian Journal of Fertility and Sterility
Volume 10, Issue 1
January 2006
Pages 31-36

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