Fertility and sterility · 1996
Contrast sonography for uterine cavity assessment: a comparison of conventional two-dimensional with three-dimensional transvaginal ultrasound; a pilot study.
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Ayida G, Kennedy S, Barlow D, Chamberlain P
Аннотация
OBJECTIVE: To compare conventional two- (2-D) and three-dimensional (3-D) scanning of the uterine cavity with and without saline contrast medium.
DESIGN: Observational pilot study.
SETTING: University-based fertility service.
PATIENT(S): Ten IVF patients requiring uterine cavity assessment.
INTERVENTION(S): Two-dimensional and 3-D transvaginal scans before and after injection of saline into the uterine cavity.
MAIN OUTCOME MEASURE(S): Number and type of uterine cavity abnormalities detected by each technique.
RESULT(S): The 2-D scanning suggested cavity abnormalities in 4 of 10 women (fibroids, 3; hyperechoeic thick endometrium, 1). The 3-D scanning confirmed these and revealed one additional abnormality suggestive of a uterine septum. The 2-D scanning with saline injection diagnosed abnormalities in 5 of 10 (uterine septum, 1; fibroids, 3; endometrial polyp, 1). The 3-D contrast scanning with saline did not add any further information to 2-D contrast scanning with saline.
CONCLUSION(S): In this pilot study, 3-D scanning to assess the uterine cavity appeared to offer no advantages over conventional 2-D contrast sonography.
DESIGN: Observational pilot study.
SETTING: University-based fertility service.
PATIENT(S): Ten IVF patients requiring uterine cavity assessment.
INTERVENTION(S): Two-dimensional and 3-D transvaginal scans before and after injection of saline into the uterine cavity.
MAIN OUTCOME MEASURE(S): Number and type of uterine cavity abnormalities detected by each technique.
RESULT(S): The 2-D scanning suggested cavity abnormalities in 4 of 10 women (fibroids, 3; hyperechoeic thick endometrium, 1). The 3-D scanning confirmed these and revealed one additional abnormality suggestive of a uterine septum. The 2-D scanning with saline injection diagnosed abnormalities in 5 of 10 (uterine septum, 1; fibroids, 3; endometrial polyp, 1). The 3-D contrast scanning with saline did not add any further information to 2-D contrast scanning with saline.
CONCLUSION(S): In this pilot study, 3-D scanning to assess the uterine cavity appeared to offer no advantages over conventional 2-D contrast sonography.