Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility

Kıran, Hakan; KAPLANOĞLU, MUSTAFA; ÇETİN, Mehmet Turan

Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility

Hakan KIRAN, (Prof. Dr. M. Turan Çetin Kadın Sağlığı ve IVF Merkezi, Adana, Türkiye)

Mustafa KAPLANOĞLU, (Sarıkamış Askeri Hastanesi, Kars, Türkiye)

Mehmet Turan ÇETİN (Prof. Dr. M. Turan Çetin Kadın Sağlığı ve IVF Merkezi, Adana, Türkiye)

Journal of the Turkish-German Gynecological Association

2 0

Yıl: 2008 Cilt: 9 Sayı: 2 Sayfa Aralığı: 94 - 96 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility

Öz:

AMAÇ: İnfertil hasta populasyonundaki intrauterin patolojilerin tanısında histeroskopi ile sonohisterografinin etkinliğinin karşılaştırılması. Hastalar/METOD: Ortalama yaşı 32 (20- 45 arası) olan 122 infertil hastaya steril salin solusyonu ile sonohisterografiyi takiben histeroskopi yapıldı. Sonohisterografi ve histeroskopiyle saptanan klinik bulgular karşılaştırıldı. SHG ve histeroskopinin sensitivite, spesifite, pozitif prediktif değer, negatif prediktif değerleri hesaplandı ve karşılaştırıldı SONUÇLAR: SHG ile histeroskopinin sensitivite ve spesifitesi karşılaştırıldı ve sırası ile % 12.8 ve % 97.3 olarak saptandı. Sonohisterografik değerlendirmede yalancı negatiflik oranı % 2.7 pozitif prediktif değer % 75 olarak hesaplandı. TARTIŞMA: İntrauterin patolojilerin saptanmasında, histeroskopinin SHG’ye göre daha üstün olabileceği sonucu çıkarıldı. Endometrial lezyonlara müdahale edebilme imkanı da verdiğinden dolayı, her infertil kadına IVF programı öncesi rutin ofis histeroskopi önermek akılcı bir yaklaşım gibi görünmektedir.

Anahtar Kelime: Duyarlılık ve özgüllük Tanı teknikleri, kadın doğum ve kadın hastalıkları Histeroskopi Kısırlık Testlerin kestirim değeri Histerosalpingografi

Konular: Kadın Hastalıkları ve Doğum

İnfertilitede uterin kavitenin histeroskopik ve sonohisteroskopi ile incelenmesinin uyumu

Öz:

OBJECTIVE: To compare the efficiency of sonohysterography(SHG) and hysteroscopy in the diagnosis of intrauterine pathologies in a population of infertile women. Patients/ METHODS: 122 infertile women with a mean age of 32 years (range 20-45) underwent SHG with sterile saline solution followed by hysteroscopy. The clinical findings obtained by SHG and hysteroscopy were compared. sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of SHG compared to hysteroscopy were calculated. RESULTS: The SHG sensitivity and specificity compared with hysteroscopy were 12.8 and 97.3 % respectively. The 2.7 % false positive rate and 75 % PPV detected with sonohysterographic evaluation. CONCLUSION: It was concluded that hysteroscopy is superior to SHG in the diagnosis of intrauterine pathologies. Because it enables the interference of endometrial lesions it may be logical to perform office hysteroscopy to all infertile women undergo IVF.

Anahtar Kelime: Infertility Predictive Value of Tests Hysterosalpingography Sensitivity and Specificity Diagnostic Techniques, Obstetrical and Gynecological Hysteroscopy

Konular: Kadın Hastalıkları ve Doğum

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kıran H, KAPLANOĞLU M, ÇETİN M (2008). Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. , 94 - 96.
Chicago	Kıran Hakan,KAPLANOĞLU MUSTAFA,ÇETİN Mehmet Turan Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. (2008): 94 - 96.
MLA	Kıran Hakan,KAPLANOĞLU MUSTAFA,ÇETİN Mehmet Turan Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. , 2008, ss.94 - 96.
AMA	Kıran H,KAPLANOĞLU M,ÇETİN M Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. . 2008; 94 - 96.
Vancouver	Kıran H,KAPLANOĞLU M,ÇETİN M Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. . 2008; 94 - 96.
IEEE	Kıran H,KAPLANOĞLU M,ÇETİN M "Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility." , ss.94 - 96, 2008.
ISNAD	Kıran, Hakan vd. "Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility". (2008), 94-96.

APA	Kıran H, KAPLANOĞLU M, ÇETİN M (2008). Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. Journal of the Turkish-German Gynecological Association, 9(2), 94 - 96.
Chicago	Kıran Hakan,KAPLANOĞLU MUSTAFA,ÇETİN Mehmet Turan Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. Journal of the Turkish-German Gynecological Association 9, no.2 (2008): 94 - 96.
MLA	Kıran Hakan,KAPLANOĞLU MUSTAFA,ÇETİN Mehmet Turan Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. Journal of the Turkish-German Gynecological Association, vol.9, no.2, 2008, ss.94 - 96.
AMA	Kıran H,KAPLANOĞLU M,ÇETİN M Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. Journal of the Turkish-German Gynecological Association. 2008; 9(2): 94 - 96.
Vancouver	Kıran H,KAPLANOĞLU M,ÇETİN M Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility. Journal of the Turkish-German Gynecological Association. 2008; 9(2): 94 - 96.
IEEE	Kıran H,KAPLANOĞLU M,ÇETİN M "Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility." Journal of the Turkish-German Gynecological Association, 9, ss.94 - 96, 2008.
ISNAD	Kıran, Hakan vd. "Sonohysterography of the uterine cavity with hysteroscopic correlation in the investigation of infertility". Journal of the Turkish-German Gynecological Association 9/2 (2008), 94-96.