A prospective comparison of transvaginal ultrasonography and diagnostic hysteroscopy in the evaluation of patients with abnormal uterine bleeding: Clinical implications
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This study prospectively compared transvaginal ultrasonography and diagnostic hysteroscopy for evaluating abnormal uterine bleeding, assessing their clinical implications.
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Abstract
ObjectiveWe determined the diagnostic value of transvaginal ultrasonography for endometrial and intrauterine abnormalities in patients with abnormal uterine bleeding.Study designBetween June 1, 1992, and June 1, 1993, 279 consecutive patients underwent transvaginal ultrasonography. Findings were compared with the final diagnosis established by diagnostic hysteroscopy and histologic examination.ResultsTransvaginal ultrasonography demonstrated a sensitivity of 0.96 and a specificity of 0.89. With a pretest probability (prevalence) of 0.42, this resulted in posttest probabilities of 0.03 in the case of a normal sonogram and 0.87 for an abnormal sonogram. The corresponding likelihood ratios were 0.04 and 9.09, respectively.ConclusionTransvaginal ultrasonography seems to be an effective procedure to exclude endometrial and intrauterine abnormalities. Its use could be implemented as a routine first-step procedure in patients with abnormal uterine bleeding, and it selects those in need of further diagnostic evaluation in the case of an abnormal or inconclusive sonogram.
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References (19)
- Endoscopic surgery for gynaecologists via openalex
- The role of vaginal scan in measurement of endometrial thickness in postmenopausal women via openalex
- doi:10.1016/s0002-9378(11)90683-8 via openalex
- doi:10.1016/0002-9378(91)90622-x via openalex
- doi:10.1016/0140-6736(90)91387-p via openalex
- W361514376 via openalex
- W1476642125 via openalex
- W2413558923 via openalex
- doi:10.1016/0002-9378(88)90367-5 via openalex
- doi:10.1111/j.1471-0528.1982.tb04699.x via openalex
- doi:10.1016/0020-7292(92)90058-q via openalex
- W2470573553 via openalex
- W4299325590 via openalex
- W6715792074 via openalex
- W6844379667 via openalex
- doi:10.1016/0002-9378(88)90011-7 via openalex
- doi:10.1016/s0002-9378(16)32276-1 via openalex
- doi:10.1016/0020-7292(92)90765-b via openalex
- doi:10.1016/s0025-6196(12)61661-9 via openalex
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- Premenopausal abnormal uterine bleeding and risk of endometrial cancer 2016
- Female Fertility Assessment 2012
- Gynecologic effects of arzoxifene in postmenopausal women with osteoporosis or low bone mass 2011
- Dysfunctional uterine bleeding: advances in diagnosis and treatment 2001
- A Cost Utility Analysis of Sonograhestrography Compared with Hysteroscopic Evaluation for Dysfunctional Uterine Bleeding 2000
- Radiographic imaging techniques for the diagnosis of abnormal uterine bleeding 2000
- Abnormal uterine bleeding in the reproductive years. Part I—Pathogenesis and clinical investigation 1999
- Differential diagnosis of abnormal uterine bleeding 1996
- Office hysteroscopy versus transvaginal ultrasonography in the evaluation of patients with excessive uterine bleeding 1996
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