Role of Multidetector Computed Tomography (CT) Virtual Hysteroscopy in the Evaluation of Abnormal Uterine Bleeding in Reproductive Age.

Autor: Saleh HS; Obstetrics & Gynecology Departments, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt., Madkour NM; Obstetrics & Gynecology Departments, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt., Abdou AM; Obstetrics & Gynecology Departments, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt., Mahdy ER; Obstetrics & Gynecology Departments, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt., Sherif HE; Obstetrics & Gynecology Departments, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt., Mohamed EA; Obstetrics & Gynecology Departments, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt., Ibrahim SA; Obstetrics & Gynecology Departments, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt., Amin MI; Radiodiagnosis Departments, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt.
Jazyk: angličtina
Zdroj: BioMed research international [Biomed Res Int] 2019 Jan 21; Vol. 2019, pp. 8910374. Date of Electronic Publication: 2019 Jan 21 (Print Publication: 2019).
DOI: 10.1155/2019/8910374
Abstrakt: Background: Abnormal uterine bleeding (AUB) may be acute or chronic and is defined as bleeding from the uterine corpus that is abnormal in regularity, volume, frequency, or duration and occurs in the absence of pregnancy. It is a widespread complaint in the primary care units. The prevalence of abnormal bleeding is up to 30% among women of reproductive age.
Objective: To assess the role of CT virtual hysteroscopy in the evaluation of the uterine cavity in cases with abnormal uterine bleeding in reproductive age.
Methods: Cross sectional study was performed at Obstetrics and Gynecology Department and Radiology Department, Zagazig University hospitals, Egypt, on 124 women with abnormal uterine bleeding in reproductive age, and their uterine cavity was evaluated by both row multidetector computed tomography (MDCT) scanner and Office hysteroscopy.
Results: Mean age of studied group was 28.54 ± 5.99 years, and virtual hysteroscopy showed sensitivity 91.1% and specificity 85.3% in detection of abnormalities within uterine cavity. It showed sensitivity 91.1% and specificity 85.3% in cases of endometrial polyps. It yielded 88.5 % sensitivity and 100 % specificity in cases with submucous fibroids, while it yielded only 57.9 % sensitivity and 82.9% specificity in cases of thick endometrium.
Conclusion: Virtual CT hysteroscopy is a good negative test in cases of abnormal uterine bleeding but has some limitations that decrease its sensitivity.
Databáze: MEDLINE
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