Comparison of 3 dimensional sonohysterography and hysteroscopy in Premenopausal women with abnormal uterine bleeding

摘要

Objectives To compare between the diagnostic accuracy of 3D saline infusion sonohysterography (SIS) and hysteroscopy in detection of intracavitary uterine abnormalities in premenopausal women with abnormal uterine bleeding. Patients and methods In this study fifty female patients presented with abnormal uterine bleeding and their age ranged between 25 and 45 years old were assessed by 3-D sonohysterography for assessment of the endometrial cavity and the data obtained were compared with the results of diagnostic hysteroscopy. b Compared to hysteroscopy, 3D sonohysterography has a sensitivity of 81.25%, specificity of 100%, positive predictive value of 100%, negative predictive value of 75% and accuracy 88%. Conclusion 3-D sonohysterography is a very safe, well tolerated and effective modality for evaluation of intracavitary uterine abnormalities and is an accurate alternative technique for hysteroscopy among the premenopausal women that suffers from abnormal uterine bleeding (AUB).