Ahmet Zeki NESSAR, Hakan NAZİK, HAKAN AYTAN, MURAT APİ

Salin infüzyon sonografisi ile ön tanı konulan hastaların histeroskopik tanılarının karşılaştırılması

Amaç: Bu çalışmada, preoperatif dönemde salin infüzyon sonografisi (SİS) ile tanı konulan hastaların histeroskopik tanılarının karşılaştırılması ve histeroskopinin etkinlik ve güvenilirliğinin belirlenmesi amaçlanmıştır.Gereç ve Yöntem: Bu çalışma Eğitim ve Araştırma Hastanesi kadın hastalıkları ve doğum kliniğinde Ekim 2011- Aralık 2012 tarihleri arasında histeroskopi yapılan 95 hasta ile yapılmışır. Farklı nedenlerden dolayı histeroskopi planlanan tüm hastalara preoperatif SİS yapıldı. Daha sonra bu iki yöntemin tanısal değerleri karşılaştırıldı.Bulgular: Histolojik tanı altın standart olarak kabul edildiğinde polip tanısında SİS’in %90.62 sensitivite, %90.48 spesifite, myom tanısında %84.21 sensitivite, %100 spesifiteye sahip olduğu izlenmiştir. Histeroskopinin polip tanısında %96.87 sensitivite, %90.48 spesifite, myom tanısında ise %84.21 sensitivite, %100 spesifiteye sahip olduğu saptanmıştır. Sonuç: SİS fokal lezyonların tanısında oldukça doyurucu etkinliğe sahip olsa da histeroskopinin endomatrial kavite patolojilerinde giderek yaygınlaşan ve vazgeçilmez bir tanı ve tedavi yöntemi haline geldiğini görmekteyiz.Anahtar Kelimeler: Salin infüzyon sonografi, histeroskopi, endometrial patoloji

Anahtar Kelimeler:

Salin infüzyon sonografi, histeroskopi, endometrial patolojiComparison of hysteroscopic diagnosis of patients who were diagnosed with saline infusion sonography.

Comparison of hysteroscopic diagnosis of patients who were diagnosed with saline infusion sonography

Objective: We aimed to compare hysteroscopic diagnosis of patients who were diagnosed preoperatively with the salin infusion sonography and to discuss the efficiency and accuracy of hysteroscopy.Materials and Methods: Ninety-five patients who underwent hysteroscopy procedure in Dept of Gyn&Ob, Adana Numune Teaching and Research Hospital, between October 2011 to December 2012, included in this study. Preoperative sonohysterography was performed in all patients who scheduled for hysteroscopy with different indications. Patients underwent to hysteroscopy procedure after the sonohysterographic diagnoses recorded. Afterwards the diagnostic values of these two commonly used methods compared with histological diagnosis that considered the gold standard.Results: In condition of histological diagnosis was considered the gold standard we found that: diagnostic sensitivity and specifity of sonohysterography, respectively: polyp 90.62% and 90.48%, myoma 84.21% and 100%. Diagnostic sensitivity and specifity of histerography, respectively: polyp 96.78% and 90.48%, myoma 84.21% and 100%.Conclusion: Saline infusion sonography satisfied us about the focal lesions but in our routine practice hysterescopic approach is gone to widespreading and essential tool for the diagnosis and treatment of endometrial cavity lesions.Keywords: Hysteroscopy, salin infusion sonography, endometrial pathology

Keywords:

Hysteroscopy, salin infusion sonography, endometrial pathology.CİLT: 45 YIL: 2014 SAYI: 1,

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