ROLE OF SALINE INFUSION SONOHYSTEROGRAPHY AND TRANSVAGINAL COLOUR DOPPLER ULTRASONOGRAPHY IN EVALUATING UTERINE POLYPS: A PROSPECTIVE STUDY.

Document Type : Original Article

Authors

1 Radio-diagnosis department, Al-Mokattem insurance hospital, Cairo, Egypt.

2 Radio-diagnosis department, Ain shams university hospitals, Cairo, Egypt.

Abstract

Background: Management of uterine polyps is primarily based on the hysteroscopy and biopsy.
Aim of the work: is to compare the diagnostic performance of transvaginal color Doppler sonography (TVCD) and sono-hysterography (SHG) in the diagnosis of endometrial polyps.
Patients and Methods: Thirty-four women (mean age, 38.6 years; range, 28–55 years) with clinical or B-mode sonographic suspicion of endometrial polyps were included in this prospective study. Transvaginal color Doppler sonography first and then SHG were performed in all patients. On TVCD, a polyp was suspected when a vascular pedicle penetrating the endometrium from the myometrium was identified. On SHG, a polyp was suspected when a focal polypoid lesion was seen within the endometrial cavity. All patients underwent hysteroscopy and endometrial biopsy, the findings of which were used as the criterion standard. Sensitivity and specificity for TVCD and SHG were calculated and compared by the McNemar test.
Results: Hysteroscopy and endometrial biopsy findings were as follows: 33 (97.1%) cases had endometrial polyps, while 4 (11.8%) had endometrial hyperplasia, 6 (17.6%) had endometritis, 2 (5.9%) had fibroids, and 2 (5.9%) had adenomyosis. Accuracy and P-value for TVCD and SHG were 58.82% and 0.441 and 91.17% and 0.005, respectively
Conclusion: Findings showed that there was a significant difference between color Doppler results and sono-hysterography findings. Saline infusion Sono-hysterography is significantly more accurate than transvaginal color Doppler ultrasonography in the detection of endometrial polyps.

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