Journal de gynecologie, obstetrique et biologie de la reproduction · 1999
[Comparison of contrast hysterosonography and transvaginal ultrasonography for uterus imaging].
Клиническое исследованиеКонтролируемое клиническое исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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van den Brûle F A, Wéry O, Huveneers J, Gaspard U J
Аннотация
AIM OF THE STUDY: To evaluate the efficacy of transvaginal sonography and saline infusion hysterosonography, as imaging tools, for the diagnosis of uterine abnormalities.
METHODS: Two hundred seventy five patients were examined using transvaginal sonography (TVS) and saline infusion sonography (SIS), and the results were compared.
RESULTS: Saline infusion sonography was performed in 88.4% of the cases. The most frequent cause of SIS failure was the presence of a stenotic cervix. In case of normal TVS, SIS allowed to visualize a polypoid lesion that was not demonstrated by TVS in 20.4% of the cases (n = 29/142). Saline infusion sonography confirmed the diagnosis of focal lesion suspected after TVS in all cases (n = 36). Finally, the localization of intramyometrial or submucous myomas was improved by SIS: myomas diagnosed by TVS as intramyometrial were demonstrated by SIS to be submucous in 41% of the cases (n = 23/56).
CONCLUSIONS: Our results confirm that saline infusion sonography is a useful complementary tool for transvaginal sonography in the diagnosis of focal endometrial lesions and for the localization of fibromyomas.
METHODS: Two hundred seventy five patients were examined using transvaginal sonography (TVS) and saline infusion sonography (SIS), and the results were compared.
RESULTS: Saline infusion sonography was performed in 88.4% of the cases. The most frequent cause of SIS failure was the presence of a stenotic cervix. In case of normal TVS, SIS allowed to visualize a polypoid lesion that was not demonstrated by TVS in 20.4% of the cases (n = 29/142). Saline infusion sonography confirmed the diagnosis of focal lesion suspected after TVS in all cases (n = 36). Finally, the localization of intramyometrial or submucous myomas was improved by SIS: myomas diagnosed by TVS as intramyometrial were demonstrated by SIS to be submucous in 41% of the cases (n = 23/56).
CONCLUSIONS: Our results confirm that saline infusion sonography is a useful complementary tool for transvaginal sonography in the diagnosis of focal endometrial lesions and for the localization of fibromyomas.