Can the endometrial thickness as measured by trans-vaginal sonography be used to exclude polyps or hyperplasia in pre-menopausal patients with abnormal uterine bleeding?
| Autor: | Per Kracht, Hanne Laursen, Margit Dueholm, Marianne Lidang Jensen |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Gynecology
medicine.medical_specialty Hysterectomy medicine.diagnostic_test business.industry medicine.medical_treatment Obstetrics and Gynecology Uterine bleeding Metrorrhagia General Medicine Hyperplasia Endometrium medicine.disease medicine.anatomical_structure Hysteroscopy Medicine Uterine cavity medicine.symptom business Prospective cohort study |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica. 80:645-651 |
| ISSN: | 0001-6349 |
| DOI: | 10.1034/j.1600-0412.2001.800710.x |
| Popis: | Background. To combine findings of normal mid-line echoes from TVS (trans-vaginal sonography) with cut-off levels for endometrial thickness, in order to examine the associated risk of abnormalities in the uterine cavity. Design and Setting. Two center prospective study at a university clinic and a central hospital in Denmark. Participants. Three hundred and fifty-five pre-menopausal patients with abnormal uterine bleeding, and indications for endometrial sampling or surgery. Interventions. The thickness of the endometrium was measured, and the mid-line echoes were evaluated using TVS. The findings from the endometrial sampling, combined with the evaluation of the uterine cavity using operative hysteroscopy (115), hysterectomy (74) or HSE (hysterosonographic examination) (166), were used as the true values. Results. The mean (±s.d.) endometrial thickness was significantly different in patients with hyperplasia 11.5 mm (±5.0), polyps 11.8 mm (±5.1), sub-mucous myomas 7.1 mm (±3.4) and in patients without th... |
| Databáze: | OpenAIRE |
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