[Diagnostic value of ultrasound in uterine myomatosis]

We studied 142 patients with total abdominal hysterectomy for leiomyomata in order to evaluate the diagnostic usefulness of ultrasound in this pathology. We found wide variations in the diagnostic when as seen from different points of view: Clinic, ultrasonographic, trans-operatory and pathological. The ultrasound confirmed leiomyomata in 80.28% of case and pathology only in 62%. Ultrasound found in 28 cases and uterus with no alterations and this was supported by pathology only in 20. In 80% the symptom that brought the patient to the hospital was some kind of abnormal bleeding. The chosen treatment was a total abdominal hysterectomy in all patients and in 35% it some kind of complementary procedure was done for the correction of adnexal pathology or stress urinary incontinence. It was seen an elevated incidence of cervical infections with HPV. The positive predictive value of this proof was 0.7018 and the negative value was 0.7143.