TRANSVAGINAL SONOGRAPHY VERSUS SALINE INFUSION SONOHYSTEROGRAPHY FOR EVALUATION OF ABNORMAL UTERINE BLEEDING IN PERIMENOPAUSAL AGE GROUP

  • Rajneesh Madhok Professor, Radiodiagnosis, Department of Obstetrics and Gynaecology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
  • Shashibala Arya Professor, Department of Obstetrics and Gynaecology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
  • J. K. Goel Professor, Department of Obstetrics and Gynaecology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
  • Anjali Chandra Junior Resident, Department of Obstetrics and Gynaecology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
  • M. Sinha Assistant Professor, Department of Obstetrics and Gynaecology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
  • Ruchica Goel Senior Resident, Department of Obstetrics and Gynaecology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
  • S. Raturi Senior Resident, Department of Animal Reproduction, Gynaecology and Obstetrics College of Veterinary Science and Animal Husbandry, Anand Agricultural University Anand, Gujarat 388 001, India
Keywords: Abnormal uterine bleeding, transvaginal sonography, saline infusion sonohysterography.

Abstract

Introduction: The present study was conducted to evaluate the validity of Transvaginal Sonography (TVS) in perimenopausal women with abnormal uterine bleeding (AUB), validity of saline infusion sonohysterography in perimenopausal women with abnormal uterine bleeding and to compare the diagnostic accuracy of the above mentioned modalities. Material and Methods: It was a prospective comparative study of TVS and Saline Infusion Sonohysterography (SIS) in 100 perimenopausal women presenting with AUB. The findings of TVS and SIS was compared with histopathology. Result: The sensitivity of TVS for submucosal fibroid, polyp, intramural fibroid and endometrial hyperplasia was found to be 50%,44.44%, 40%, 33.33% respectively while specificity being 88.29%, 95.60%, 88.88%, 95.60% respectively. The sensitivity of SIS for endometrial hyperplasia and submucosal fibroid was found to be same (66.66%) whereas for polyp and intramural fibroid was 55.55% and 50% respectively. Specificity of SIS for polyp, endometrial hyperplasia, intramural fibroid and submucosal fibroid was found to be 98.90%,95.60%,92.2% and 90.42% respectively. Overall sensitivity and specificity of TVS was 79.4% and 75.8 % respectively whereas for SIS is 82.4% and 80.3% respectively. Conclusion: SIS is simple, highly sensitive and specific technique to detect intrauterine pathology.
Published
2017-07-30