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부정기적 자구울혈 환자에서의 경질 초음파 자궁조영술(Sonohysterography)의 진단적 효용성

Diagnostic Efficacy of Sonohysterography in Patients with Irregular Vaginal Bleeding

대한산부인과학회지 1995년 38권 11호 p.2124 ~ 2131
이희춘
권혁찬/유희석/정태영/유정현/장기홍/양정인/오기석/이은주

Abstract


The comparison between sonohysterography assesment and transvaginal sonography was made in 33 wemen with abnormal vaginal bleeding and spotting.
Surgical intervention(endometrial biopsy, hysteroscopy, total abdominal hysterectomy) was performed after sonohysterography according to each patient's condition between July 1994 and February 1995.
@ES The main results were as follows:
@EN 1. The distribution of pathology were: normal(6), endometrial polyp(19), submousal myoma(3), endometrial hyperplasia(2), mixed pattern(2), endometrial synechia(1).
2. In the comparison of transvaginal sonography with sonohysterography, hypertrophy(9/10), hyperechoic(10/10), nodular(4/4), mixed(2/2) patterns were correlated with sonohysterography findings.
3. The diagnostic sensitivity of transvaginal sonography and sonohysterography in endometrial pathology was 66% and 85% (p<0.05).
4. Complications of sonohysterography were lower abdominal pain, uterine bleeding and mild pelvic inflammatory disease.
In conclusion, sonohysterography is more efficacious diagnostic tool than transvaginal sonography in the evaluation of abnormal uterine bleeding.

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