Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/25883
Type: Artigo de periódico
Title: Comparação do ultrassom transvaginal e da histeroscopia ambulatorial no diagnóstico das doenças endometriais em mulheres menopausadas
Title Alternative: Comparative study of transvaginal sonography and outpatient hysteroscopy for detection of pathologic endometrial lesions in postmenopausal women
Author: Yela, Daniela Angerame
Ravacci, Simone Hidalgo
Monteiro, Ilza Maria Urbano
Pereira, Kelly Cristine Hirose Marques
Gabiatti, Jose Roberto Erbolato
Abstract: OBJECTIVE: To compare the efficiency of transvaginal sonography and outpatient hysteroscopy in the diagnosis of intrauterine pathology in postmenopausal women. METHODS: Two-hundred and forty-three postmenopausal women were selected. All women had undergone outpatient hysteroscopy in the year 2006. These women were referred from the Basic Healthcare Units in Campinas, where they underwent ultrasonography for the evaluation of the endometrial cavity. RESULTS: The mean age of these women was 61±9.4 years. These women were menopausal for 11±8.3 years.. We observed 6.6% cases of endometrial hyperplasia and cancer. The ultrasonography had a sensitivy of 95.6%, a specificity of 7.4%, a positive predictive value of 53.3% and a negative predictive value of 60%, while the hysteroscopy had 95.7%, 83%, 82.2% and 95.9% respectively. CONCLUSION: Hysteroscopy was a more accurate method for the detection of intrauterine pathology than ultrasonography.
OBJETIVO: Comparar a eficácia do ultrassom transvaginal e da histeroscopia diagnóstica ambulatorial no diagnóstico das doenças intrauterinas em mulheres menopausadas. MÉTODOS: Foram selecionadas 243 mulheres menopausadas que se submeteram a uma histeroscopia diagnóstica no ano de 2006. Todas essas mulheres vieram encaminhadas da rede básica de saúde após terem realizado um ultrassom transvaginal para avaliar a cavidade endometrial. RESULTADOS: As mulheres tinham em média 61±9,4 anos e encontravam-se na menopausa em média há 11±8,3 anos. Observamos 6,6% de casos de hiperplasia endometrial e câncer de endométrio. O ultrassom apresentou uma sensibilidade de 95,6%, uma especificidade de 7,4%, um valor preditivo positivo de 53,3% e valor preditivo negativo de 60%, enquanto a histeroscopia apresentou 95,7%; 83%; 82,2% e 95,9%, respectivamente. CONCLUSÃO: A histeroscopia apresentou maior acurácia que o ultrassom no diagnóstico das doenças endometriais.
Subject: Ultrassom
Histeroscopia
Doenças uterinas
Ultrasonography
Hysteroscopy
Uterine Diseases
Editor: Associação Médica Brasileira
Rights: aberto
Identifier DOI: 10.1590/S0104-42302009000500018
Address: http://dx.doi.org/10.1590/S0104-42302009000500018
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302009000500018
Date Issue: 1-Jan-2009
Appears in Collections:Unicamp - Artigos e Outros Documentos

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