Diagnostic accuracy of saline infusion sonohysterography for evaluation of uterine cavity abnormalities in patients with abnormal uterine bleeding

摘要

The objective of this study was to evaluate the diagnostic accuracy of salineinfusion hysterosonography for detection of uterine cavity abnormalities using Hysteroscopyas the gold standard. Study Design: Analytical Quasi Experimental study. Setting: Obstetricand Gynaecology Department Madina Teaching Hospital Faisalabad. Period: July 2017 toDecember 2017. Materials and Methods: Sixty patients presented with abnormal uterinebleeding were included in the study. Transvaginal ultrasound, SIS and hysteroscopy performedfor evaluation of the uterine cavity for any abnormality. Results: SIS helped in detection ofintacavitary abnormalities in 39 out of 60 patients indicating sensitivity of 88. 64 % andspecificity of 100 % as hysteroscopy confirm the findings in all the patients. The NPV is 76 %and PPV of 100 % taking hysteroscopy as gold standard. The diagnostic accuracy of salineinfusion sonography is 91%. Conclusion: The addition of SIS to TVS significantly improved thesensitivity and specificity for detecting intracavitary pathology. It can be used as an alternativeprocedure whenever hysteroscopy is not available.