Validación de la ecografía transvaginal comparado con histerosonografia en el diagnóstico de pólipo endometrial, hospital “José Carrasco Arteaga”. agosto 2017 – diciembre 2020

Abstract

Background: Polyps are the most frequent endometrial pathology that affects pre and postmenopausal women and can be found as a finding during a routine ultrasound or producing symptoms which interfere with the normal development of the patient's life. Objectives: To determine the validity of transvaginal ultrasound compared to hysterosonography in the endometrial polyp’s diagnosis. Methods: This is a validating diagnostic test study that was carried out in women who attended the Imaging service of the "José Carrasco Arteaga" Hospital, in the period from August 2017 to December 2020, for a transvaginal ultrasound and a hysterosonography to confirm the endometrial polyp diagnosis. The data obtained from the AS 400 system was collected on a form and tabulated based on diagnostic accuracy statistics. Results: With this study, it was possible to observe that premenopausal women were the most representative group with 76.57%, as well as primiparous women with 61,18%. Ultrasonography as a diagnostic method for endometrial polyps compared to hysterosonography has a sensitivity of 80.42% and a specificity of 66.55% with a positive and negative predictive value of 84.55% and 59.88%, respectively. Conclusions and Recommendations: Transvaginal ultrasound has good sensitivity and positive predictive value for the diagnosis of endometrial polyps.