Transvaginal sonography versus saline contrast sonohysterography in evaluation of abnormal uterine bleeding

Authors

  • Rashmi Vohra Department of Obstetrics and Gynecology, MM Medical College Mullana, Ambala, Haryana, India
  • Rita Mittal Department of Obstetrics and Gynecology, IGMC Shimla, Himachal Pradesh, India
  • Anupa Sood Department of Obstetrics and Gynecology, MM Medical College, Solan, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174420

Keywords:

AUB, SCSH, Sensitivity, Specificity, TVS

Abstract

Background: To evaluate TVS and SCSH as a screening method in case of AUB and to correlate he findings of TVS and SCSH with hysterectomy specimen.

Methods: Present study was conducted in department of obstetrics and gynaecology, Kamla Nehru Hospital for mother and child, IGMC, Shimla for a period of one year. A total of 150 patients with AUB were subjected to TVS and SCSH in same sitting irrespective of their phase of menstrual cycle. All the cases were subjected to hysterectomy within 2 weeks and operative findings were noted. Data was collected and findings analysed.

Results: Overall sensitivity of SCSH was found to be 97.6% while that of TVS was 95.1%. The overall specificity of SCSH was found to be 99.6% and that of TVS was 98.2%. PPV, NPV and DA for SCSH was more than that of TVS i.e., 98.9% vs 97.4%, 99.7% vs 99.3% and 99.4% vs 98.7%.

Conclusions: SCSH represents a new and promising technique for investigation of the uterine cavity. It is safe, minimally invasive, easy, cost effective and reliable method to diagnose the cause of AUB.

References

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Published

2017-09-23

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Original Research Articles