[Hysteroscopic study in patients with abnormal uterine bleeding]
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1Departamento de Obstetricia y Ginecología, Hospital Clínico, J. J. Aguirre, Universidad de Chile.
Abstract:
The experience of hysteroscopy performed in our Service in Abnormal Uterine Bleeding (AUB) is presented in order to show the utility of this procedure as a diagnostic method and compare these results with Dilatation and Curettage (DC). Eighty five patients underwent diagnostic hysteroscopy procedure, followed by DC; 54 were postmenopausal (63.6%) and 31 were premenopausal (36.4%). The distention media used was liquid. In 47 patients (55.2%) the hysteroscopic diagnostic was normal or atrophic endometrium, in 16 patients (18.8%) was hyperplasia, in 17 patients (20%) was endometrial polyp, 4 cases (4.7%) were described as cancer and in 1 case (1.3%) the diagnostic was bone metaplasia. We compared the results with the histology of DC obtaining a correlation of 93%. These results confirm the high accuracy of this procedure as a diagnostic method in uterine bleeding regarding its specificity and sensibility.
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