Skip to main content
main-content

01.02.2018 | Original Article | Ausgabe 1/2018

The Journal of Obstetrics and Gynecology of India 1/2018

Use of Hysteroscopy in Abnormal Uterine Bleeding: An Edge Over Histopathological Examination

Zeitschrift:
The Journal of Obstetrics and Gynecology of India > Ausgabe 1/2018
Autoren:
Parul Sinha, Nidhi Yadav, Uma Gupta
Wichtige Hinweise
Dr. Parul Sinha is the Assistant Professor (Obst. & Gynae) at the Era’s Lucknow Medical College, Lucknow; Dr. Nidhi Yadav is the Junior Resident (Obst. & Gynae) at the Era’s Lucknow Medical College, Lucknow; Dr. Uma Gupta is the Professor (Obst. & Gynae) at the Mayo Institute of Medical Sciences, Lucknow, and Ex-Professor (Obst. & Gynae) in the Era’s Lucknow Medical College, Lucknow

Abstract

Purpose of the Study

To assess the efficacy of hysteroscopy in diagnosis of AUB.

Method

A total of 56 women in reproductive and peri-menopausal age group (20–50 years) with complaints of abnormal uterine bleeding were enrolled in the study. All the patients underwent hysteroscopic examination followed by biopsy/histopathological evaluation. Hysteroscopic findings were compared against histopathological findings. Sensitivity, specificity, PPV, NPV and accuracy of hysteroscopy were calculated.

Results

Mean age of patients was 36.4 ± 7.6. Majority (60.7%) presented within 6 months of complaints. Clinically, 66.1% were diagnosed as menorrhagia, 30.4% polymenorrhoea and 3.6% intermenstrual bleeding. Hysteroscopically 53.6% presented with abnormal pathology, it diagnosed polyps in 16.1%, calcification in 12.5%, submucous fibroma in 10.7%, necrotic mass in 7.1%, adhesion and forgotten IUCD in 5.4% cases each. However, on histopathology, 33 (58.9%) cases had normal/proliferative/atrophic endometrium, 12 (21.4%) had hyperplasia, 7 (12.5%) had calcified endometrium, and 12 (21.4%) had polyp. No significant difference between two modalities was observed with respect to number of normal/proliferative/atrophic endometrium (p = 0.185). Histopathology diagnosed hyperplasia in significantly higher proportion of patients as compared to hysteroscopy (p = 0.042). Hysteroscopy diagnosed significantly higher proportion of patients with submucous myoma (p = 0.012) and necrotic mass (p = 0.042). Statistically, no significant difference between two modalities was observed with respect to other pathologies (p > 0.05). Overall agreement between two modalities was 62.5%. For pathological abnormalities in general, hysteroscopy had sensitivity, specificity, PPV, NPV and accuracy values of 78.3, 63.6, 60, 80.8 and 69.6%, respectively.

Conclusion

Hysteroscopy provided additional information for some of the pathologies, otherwise remaining undiagnosed by HPE.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.


Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2018

The Journal of Obstetrics and Gynecology of India 1/2018 Zur Ausgabe
  1. Sie können e.Med Gynäkologie & Urologie 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Gynäkologie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise