Title: Transvaginal color Doppler sonography in diagnosing endometrial disorders of perimenopausal women
Abstract: Objective To evaluate the value of transvaginal color Doppler sonography in assessing endometrial disorders in perimenopausal women. Methods We prospectively studied 164 premenopausal women with irregular uterine bleeding. Transvaginal color Doppler sonography was used to measure the endometrial thickness (double layers) and assess blood flow in endometrium before fractional dilatation and curettage (DC). The histopathologic diagnosis of specimens was compared with findings on ultrasound. Results A significant difference was found among normal group and groups of endometrial malignancy and premalignancy (P0.01). Using the cut off value of 12 mm of the endometrial thickness as abnormal endometrium, the sensitivity,specificity,positive predictive value and negative predictive value were 96.2%,65.5%,83.6%,86.4% respectively. Blood flow was not detected in normal group and only two cases were detected in benign endometrial disorders. Blood flow was detected in all cases with endometrial carcinoma. Conclusion Endometrial thickness of 12 mm may serve as the cut off point to identify the endometrial abnormality in premenopausal women. The shape, internal echoes, border and the blood flow of the endometrium should also be considered in detecting endometrial disorders.[
Publication Year: 2004
Publication Date: 2004-01-01
Language: en
Type: article
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