Browsing by Author "Tello Lituma, Jessica Alexandra"
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Item Frecuencia de patología endometrial diagnosticada por histerosonografía en el departamento de Imagenología – Hospital José Carrasco Arteaga IESS, durante el periodo 2022-2023(Universidad de Cuenca, 2025-05-19) Tello Lituma, Jessica Alexandra; Tigsi Ganzhi, Luis ManuelIntroduction: The endometrium is the mucosal layer lining the uterine cavity. Endometrial pathologies, such as polyps, leiomyomas, hyperplasia, adhesions, and carcinoma, affect women of reproductive and postmenopausal age, manifesting as abnormal uterine bleeding, pelvic pain, and fertility issues. Objective: To determine the prevalence of endometrial pathology diagnosed by hysterosonography at Hospital José Carrasco Arteaga (2022-2023). Methods: A retrospective descriptive study based on data from patients who underwent hysterosonography between 2022 and 2023. The sample consisted of 114 patients. The prevalence and characteristics of selected variables were analyzed. Results: The study revealed a high prevalence of endometrial pathology (87%), with endometrial polyps being the most common condition (87%). Most patients sought consultation due to abnormal uterine bleeding (88.6%), were from urban areas (86.6%), and had more than three childbirths (45.6%). The most affected age group was 36 to 45 years (43%). Regarding the characteristics of endometrial pathologies, polyps were predominantly hyperechoic (77.8%), lacked Doppler signal (87.9%), measured between 11 to 20 mm (40.4%), and were mainly located in the uterine body (73.7%), with a lobulated shape in 52.5% of cases. Conclusion: Endometrial pathologies are prevalent, with endometrial polyps being the most common. Abnormal uterine bleeding is the primary reason for consultation. Characteristics such as size, echogenicity, and location are key for differential diagnosis.
