Diagnostic Value Of Sonohysterography In Patients With Uterine Intracavitary Pathology

Objective The purpose of this study was to evaluate the diagnostic value of sonohysterography (SHG) in uterine intracavitary pathology. Methods 123 patients with abnormal uterine bleeding(AUB) or amenorrhea underwent SHG for suspected uterine intracavitary lesions by TVS or TAS. Under direct sonographic visualization, saline solution was slowly infused to distend the uterine cavity through a catheter with a balloon until the cavity was clearly seen. The patients were then scheduled for curettage, endometrial biopsy or surgical procedures, depending on the SHG findings. The results of SHG were compared with endometrial biopsy or surgical findings.Results The SHG findings were as follows: findings were normal in 22 patients and submucosal myomas were identified in 33 patients, polyps in 22 patients, endometrial carcinoma in 8 patients, endometrial hyperplasia in 26 patients and uterine cavity synechiae in 12 patients. Compared with the operative and pathological results, the diagnostic sensitivity, specificity and accuracy of SHG for uterine intracavitary pathology were 98%,80.8% and 94.3%,respectively.Conclusions Sonohysterography is a simple, safe procedure. Our study suggests that it is highly sensitive and specific in evaluating and diagnosing of uterine intracavitary pathology, and its use is helpful in the selection of appropriate surgical procedure and operative range. It deserves to be used widely because of a definite clinical value.