Özet:

Objective: The aim of this study is to compare diagnostic accuracy of saline infusion sonohysterography and office hysteroscopy in abnormal uterine bleeding and infertility. Methods: The study included 55 women, ages between 20-64, who consulted to obstetrics and gynecology polyclinic and had no history of pregnancy, pelvic inflammatory disease, endometrium and cervical cancer and cervical stenosis. Transvaginal ultrasonography and then saline infusion sonohysterography, office hysteroscopy and dilatation-curettage were consistently performed between 3th and 10th days of menstruation cycle in each patient. Sensitivity, specificity, positive predictive and negative predictive values were calculated by comparing the results of imaging methods and histopathological findings. Results: The hysteroscopic findings were statistically significant in diagnosis the uterine pathologies(p<0.001) while saline infusion sonohysterography didn't have statistically significant findings when compared with histopathological results (p=0.957). Sensitivity of SIS was 57.6, specificity was 68.2, positive predictive value was 73.1 and negative predictive value was 51.7. Sensitivity of office H/S was 84.8, specificity was 72.7, positive predictive value was 82.4 and negative predictive value was 76.2. Conclusion: The office hysteroscopy had diagnostic accuracy in detecting uterine pathologies in abnormal uterin bleeding and infertility while saline infusion sonohysterography didn't have. This may have affected from the surgeon's education and experience and the technique of saline infusion sonohysterography.

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