Accuracy of Three-Dimensional Saline Infusion Sono-Hysterography Versus Diagnostic Hysteroscopy in Diagnosis of Uterine Cavity Lesions

Document Type : Original Article

Authors

The Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University

Abstract

Abstract Background: Endometrial carcinoma & benign entities like normal proliferative transformation, hyperplasia, & polyps can all lead to abnormal uterine cavity. Addition of three-dimensional (3D) sonohysterography to conventional sono-hysterography improves accuracy of endometrial pathology diagnosis. Three-Dimensional Saline Infusion Sono-Hysterography (3D SIS) assess uterine contour, adhesions, & focal pathologies with confidence. Aim of Study: To compare between accuracy of three-dimensional saline infusion sono-hysterography versus diag-nostic hysteroscopy in diagnosis of uterine cavity lesions. Patients and Methods: This was a prospective cohort research, conducted at Al-Hussein Hospital of Al-Azhar University on a total of 60 cases with uterine cavity lesions from March 2021 till March 2022. Results: 3D SIS was significant in detecting uterine cavity abnormality with sensitivity of 92.5% and specificity of 95% while PPV was 97% and NPV was 86% with accuracy of 93.3 %. Conclusion: Saline infusion sonohysterography in three dimensions is safe alternative to hysteroscopy. In diagnosis of uterine cavity lesions, it is comparable to hysteroscopy, & it may be used as primary technique for assessing uterine cavity when intracavitary lesions are suspected. Hysteroscopy is still gold standard for evaluating uterine cavity.

Keywords

The Medical Journal of Cairo University
Volume 90, Issue 12
December 2022
Pages 1971-1976

Files

Share

How to cite

Statistics