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Sonohysterography for endometrial abnormalities: preliminary results
1Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa 33606.
Journal of Clinical Ultrasound : JCU
|February 1, 1993
Summary
Sonohysterography, a simple saline infusion technique, enhances transvaginal sonography for abnormal endometrial imaging. It accurately identifies uterine conditions like polyps and myomata, guiding further diagnosis and treatment.
Area of Science:
- Gynecologic imaging
- Diagnostic ultrasound
Background:
- Abnormal endometrial sonographic images often require further investigation.
- Transvaginal sonography is a common imaging modality for the endometrium.
Purpose of the Study:
- To evaluate the utility of saline infusion sonohysterography in clarifying abnormal endometrial findings.
- To assess the diagnostic accuracy of sonohysterography compared to surgical verification.
Main Methods:
- Saline infusion sonohysterography was performed using a fine flexible catheter in 39 women.
- Transvaginal sonography was utilized to visualize the uterine cavity after saline instillation.
Main Results:
- The technique correctly identified various intrauterine pathologies including polyps, myomata, synechiae, endometrial hyperplasia, and cancer.
- Surgical verification confirmed the sonographic findings in all cases.
Conclusions:
- Sonohysterography is a simple, well-tolerated procedure for evaluating abnormal endometrial images.
- While distinguishing hyperplasia from neoplasia requires further steps, sonohysterography effectively establishes the approach for biopsy and therapy.