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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 9, Issue 3, January 2014 pp 406-410
Saline Infusion Sono Hysterography and Hysteroscopy in Evaluation of Abnormal Uterine Bleeding among Premenopausal Women - A Prospective Comparative Clinical Study
Banapurmath Sudha T. R.1, Parvathamma2, Sudha A. L.3
1Associate professor, Department of OBGY, SSIMS & Research Centre, Davanagere, Karnataka, INDIA.
2Professor, 3Resident, Department of OBGY, J. S. S. Hospital, Mysore, Karnataka, INDIA.
Academic Editor : Dr. Aher K. R.
Objective: To compare the reliability, efficacy and patient acceptance of saline infusion sonohysterography with hysteroscopy in evaluation of abnormal uterine bleeding among premenopausal women. Study design: This is a prospective comparative controlled study of 120 cases of abnormal uterine bleeding among premenopausal women attending the OBG out patient department. After enrollment to the study, the cause of abnormal uterine bleeding is evaluated by clinical examination, transvaginal ultrasonography, saline infusion sonography, Hysteroscopy and guided biopsy of the lesion/curettage of endometrium. The patient reported discomfort was recorded based on the perception and tolerance of pain by the patient. The data were statistically analysed and compared for agreement of two methods along with histopathological correlation. Results: SIS and Hystero scopy were performed in 120 premenopausal women. out of them, 44% of patients had menorrhagia, 10.6% metrorrhagia, 12.5% polymenorrhoea, 20.5% dysfunctional uterine bleeding. The diagnostic potential of sis compared with hysteroscopy as standard had sensitivity of 0.92 and specificity ofo.88. The k value measuring the agreement between the two techniques was K >0.6 indicating a high level of agreement between both tests in detecting Intra uterine lesions. Analysis of patient reported discomfort based on Chi Square χ2=6.7 test, showed no statistical difference between both tests (p=o.14). Average time for SIS was 15 minutes and.>30 minutes with hysteroscopy. SIS detected additional myometrial and adnexal pathology. Severe complications were observed in 3.33% during hysteroscopy.