The Journal of the American Association of Gynecologic Laparoscopists · 2002
Modified sonohysterography immediately after hysteroscopy in the diagnosis of submucous myoma.
СтатьяНазвание и аннотация: Перевод в очереди
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Cheng Ya-Min, Lin Bao-Liang
Аннотация
STUDY OBJECTIVE: To report a new, convenient, inexpensive, office-based examination to evaluate submucous myomas before hysteroscopic myomectomy.
DESIGN: Retrospective analysis (Canadian Task Force classification II-2).
SETTING: University-affiliated teaching hospital.
PATIENTS: One hundred seventy-nine consecutive women.
INTERVENTION: Diagnostic flexible hysteroscopy and transvaginal ultrasonography.
MEASUREMENTS AND MAIN RESULTS: Transvaginal ultrasonography was performed immediately after hysteroscopy. The size and depth of invasion of submucous myomas were clearly identified by retained fluid after hysteroscopy. Locations of myomas were as follows: anterior wall, 37 (20.7%); posterior wall, 52 (29.1%); lateral wall, 40 (22.3%); and fundus, 31 (17.3%); and multiple myomas, 19 (10.6%). Myomas with stalk were found in 101 patients (56.4%) and without stalk in 78 (43.6%). The mean myoma diameter was 2.95 +/- 2.12 cm and mean weight was 30.2 +/- 33.6 g.
CONCLUSION: It is important to obtain details as to size and depth of invasion of submucous myomas before hysteroscopic myomectomy. Sonohysterography immediately after hysteroscopy is superior to traditional diagnostic methods.
DESIGN: Retrospective analysis (Canadian Task Force classification II-2).
SETTING: University-affiliated teaching hospital.
PATIENTS: One hundred seventy-nine consecutive women.
INTERVENTION: Diagnostic flexible hysteroscopy and transvaginal ultrasonography.
MEASUREMENTS AND MAIN RESULTS: Transvaginal ultrasonography was performed immediately after hysteroscopy. The size and depth of invasion of submucous myomas were clearly identified by retained fluid after hysteroscopy. Locations of myomas were as follows: anterior wall, 37 (20.7%); posterior wall, 52 (29.1%); lateral wall, 40 (22.3%); and fundus, 31 (17.3%); and multiple myomas, 19 (10.6%). Myomas with stalk were found in 101 patients (56.4%) and without stalk in 78 (43.6%). The mean myoma diameter was 2.95 +/- 2.12 cm and mean weight was 30.2 +/- 33.6 g.
CONCLUSION: It is important to obtain details as to size and depth of invasion of submucous myomas before hysteroscopic myomectomy. Sonohysterography immediately after hysteroscopy is superior to traditional diagnostic methods.