M., N., H., S., Y., A., S., H., M, S., I., K., A., A. (2006). COMPARATIVE STUDY BETWEEN THREE DIMENSIONAL TRANSVAGINAL ULTRASONOGRAPHY (3D) AND HYSTEROSCOPY IN ABNORMAL UTERINE BLEEDING. test, 10(1), 31-36. doi: 10.21608/egyfs.2006.4995
Nassar. M.; Salem H.; Aboshady Y.; Hassanin S.; Sultan M; Kandil I.; Abdel Aziz A.. "COMPARATIVE STUDY BETWEEN THREE DIMENSIONAL TRANSVAGINAL ULTRASONOGRAPHY (3D) AND HYSTEROSCOPY IN ABNORMAL UTERINE BLEEDING". test, 10, 1, 2006, 31-36. doi: 10.21608/egyfs.2006.4995
M., N., H., S., Y., A., S., H., M, S., I., K., A., A. (2006). 'COMPARATIVE STUDY BETWEEN THREE DIMENSIONAL TRANSVAGINAL ULTRASONOGRAPHY (3D) AND HYSTEROSCOPY IN ABNORMAL UTERINE BLEEDING', test, 10(1), pp. 31-36. doi: 10.21608/egyfs.2006.4995
M., N., H., S., Y., A., S., H., M, S., I., K., A., A. COMPARATIVE STUDY BETWEEN THREE DIMENSIONAL TRANSVAGINAL ULTRASONOGRAPHY (3D) AND HYSTEROSCOPY IN ABNORMAL UTERINE BLEEDING. test, 2006; 10(1): 31-36. doi: 10.21608/egyfs.2006.4995

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

The Egyptian Journal of Fertility and Sterility
Article 5, Volume 10, Issue 1, January 2006, Pages 31-36    PDF (444.87 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2006.4995
Authors
Nassar. M.1; Salem H.2; Aboshady Y.3; Hassanin S.2; Sultan M2; Kandil I.2; Abdel Aziz A.4
1International Islamic Center of population studies and Research - Department of Obstetrics &Gynecology, AI-Azhar University.
2Department of Obstetrics & Gynecology- Faculty of Medicine- Al-Azhar Universtiy.
3Department of Obstetrics and Gynecology Faculty of Medicine - AI-Azhar University (Assiutt branch)
4Department 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
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