الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 153 |  |  |
| | | from | 153 | | |
Abstract
This study was carried out at Menoufiya University Hospital. The
study was performed to determine whether performing TVS and SIS
before hysteroscopy will reduce the use of diagnostic hysteroscopies for
evaluation of uterine cavity pathologies.
TVS, SIS and hysteroscopy was done for 250 women with
secondary infertility to diagnose uterine cavity abnormalities. The
evaluation was scheduled during the follicular phase (postmenstrual),
days 5 to 10.
from this study, the normal endometrial findings by SIS was lower
than TVS(83.6% versus 87.2%) while the total pathological findings by
SIS was higher than TVS (16.4%vesus 12.8%). Concerning this study,
TVS diagnose 10 cases with polyps missed 12 cases, 9 cases of fibroids
missed 5 cases, 2 cases of IUA (like SIS). However , SIS diagnose 22 cases
of polyps missed no cases, 12 cases of fibroids missed 2 cases and 2 cases of
IUA.
The diagnostic performance of SIS for endometrial polyps were
91%, 99%, 91%, 99% versus 76%, 98%, 71%, 98% for TVS as regarding
the sensitivity, specificity, positive predictive value (PPV) and negative
predictive value (NPV) . For submucus fibroids, the diagnostic
performance of SIS versus TVS were (92%, 100%, 100%,99% versus
81%, 99%, 81%, 99% respectively) as regarding the same parameters.
However, the diagnostic performance of SIS was the same as TVS for
intrauterine adhesions(66%, 99%, 66%, 99%).
SIS seems to be superior to TVS. It is an easy and useful method
for detection of polypoid lesions and sub mucus fibroid but in patients
with suspected intrauterine adhesions, the referral to diagnostic
hysteroscopy shows better results.