3D sonohysterography vs hysteroscopy: a cross-sectional study for the evaluation of endouterine diseases

作者：Lagana Antonio Simone^*; Ciancimino Leonarda; Mancuso Alfredo; Chiofalo Benito; Rizzo Pietro; Triolo Onofrio

来源：Archives of Gynecology and Obstetrics, 2014, 290(6): 1173-1178.

DOI：10.1007/s00404-014-3366-6

• 3D sonohysterography
• Hysteroscopy
• Endouterine disease
• Diagnosis

To assess the concordance between the presumed diagnosis obtained with the 3D sonohysterography (SHG) and with the diagnostic hysteroscopy (HYS); to determine whether the 3D SHG has the accuracy needed to be considered as a diagnostic screening standard in cases of suspected endouterine pathology. %26lt;br%26gt;We selected 224 patients who voluntarily decided to undergo 3D SHG from a population with suspected presence of endouterine disease at TVS. The patients underwent first 3D SHG and then diagnostic HYS. We recorded each patient%26apos;s discomfort/pain during the two techniques. We used the %26quot;Bayes Theorem%26quot; to calculate the sensitivity and specificity of the 3D SHG as compared to HYS. %26lt;br%26gt;Overall the 3D SHG diagnosis was confirmed in 156/224 cases (69.64 %). Concordance for endometrial thickening was 0 %; for Asherman%26apos;s syndrome was 50.00 %; for polyp was 77.78 %; and for myoma, mucus accumulation and Mullerian anomalies (arcuate uterus, septate and subseptate uterus) was 100.00 %. Furthermore, 3D SHG was better tolerated than HYS. %26lt;br%26gt;Despite the diagnostic accuracy and mini-invasiveness of 3D SHG, we suggest that it cannot be a substitute of HYS in endouterine disease diagnosis, but it could be considered as a good method of screening to address patients to hysteroscopic confirmation.

• 出版日期2014-12