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Korean Journal of Obstetrics & Gynecology 2006;49(7):1508-1514.
Published online July 1, 2006.
Efficacy of saline infusion sonography for the evaluation of the uterine cavity pathologies.
Hye Jin Yang, Byung Chul Jee, Seung Yup Ku, Chang Suk Suh, Seok Hyun Kim, Young Min Choi, Jung Gu Kim, Shin Yong Moon
1Department of Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, Korea. suhcs@snu.ac.kr
2Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.
Abstract
OBJECTIVE
To evaluate the efficacy of saline infusion sonography (SIS) for the evaluation of uterine cavity pathologies. METHODS: A total of 107 patients underwent hysteroscopy from June 2003 to October 2005 was included in this retrospective study. The mean age of the patients was 42.0+/-8.8 (range 28-62 years old). Two-dimensional ultrasonography (2D-USG) and SIS was performed in all patients prior to hysteroscopy. The findings obtained by 2D-USG and SIS were compared with the final diagnosis from hysteroscopy. RESULTS: The sensitivity and specificity of SIS were 70.0% and 96.1% for submucosal myomas, and 88.3% and 63.8% for endometrial polyps, respectively. In contrast, the sensitivity and specificity of 2D-USG were 53.3% and 93.5% for submucosal myomas, and 35.0% and 83.0% for endometrial polyps, respectively. The overall diagnostic accuracy of SIS was 88.8% for submucosal myomas and 77.6% for endometrial polyps. The corresponding figures for 2D-USG was 82.2% (p=0.9437) and 56.1% (p=0.9934), respectively. The diagnostic accuracy of 2D-USG and SIS for uterine cavity pathologies was 36.4% and 71.0% respectively. CONCLUSION: SIS raised the diagnostic accuracy for uterine cavity pathologies compared with 2D-USG only. SIS seems to be an acceptable and safe method to evaluate uterine cavity pathologies.
Key Words: Saline infusion sonography, Transvaginal ultrasonography, Hysteroscopy


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