Evaluation of Abnormal Uterine Bleding by Transvaginal 3-D Sonohysterography

摘要

Aim: The aim of our study was to identify the role of 3-D sonohysterography (HS) in women with abnormal uterine bleeding. Material-Methods: A total of 56 women between 29 and 64 years old were included in the study. All of them presented abnormal uterine bleeding and they gave verbal consent prior to the procedure. After a transvaginal ultrasound, a saline 3-D sonohysterography was performed in all cases. Following this, all women were referred for dilation and curettage and histopathological results were compared to the sonographic findings. Results: The 3-d sonohysterography procedure was well tolerated with no significant complication, hi 18 cases an endometrial polyp was found (32,1%), in 7 cases a submucosal leiomyoma (12,4%), in 9 cases an endometrial hyperplasia (16%), in 1 case a foreign body (IUD) (1,7%), in 4 cases an endometrial cancer (7,1%) and in 18 cases was found normal endometrium (32,1%). The sensitivity of transvaginal 3-D sonohysterography was 100%. Conclusion: Sonohysterography performed with 3-D ultrasound has several advantages than conventional 2-D ultrasound. 3-D (H) defines better the pathology of uterine cavity and gives more accurate information conserving the location of abnormalities. Key words: Sonohysterography, Transvaginal ultrasound, Intrauterine abnormalities, 3-D sonography