Histerosonografía en el diagnóstico de patologías endometriales con hemorragia uterina anormal, en el Hospital José Carrasco Arteaga, Cuenca, 2010-2012

Abstract

Objective: To validate hysterosonography for diagnosing endometrial pathology in women with abnormal uterine bleeding compared with histopathology Hospital outpatient José Carrasco Arteaga, from October 2010 to complete the sample.

Methods: 250 patients with abnormaluterine bleeding valuated by the specialist and dispatched to imagenology valuation. There were performed hysterosonography and histopathology analysis to all patients. Sensitivity, specificity, predictive positive values and negative values were calculated. Results: The study sample had the following gynecological characteristics: the mean age was 48.69 years old, the average age of onset of menarche was 12.89 years while the average age for menopause presentation was 44.17 years, and abnormal bleeding occurred most frequently were hypermenorrhea with 36.4 %.

Hysterosonography revealed polyps as the main pathology founded (26.8%). Meanwhile the histopathology revealed hyperplasia endometrial as the main diagnostic (24.8%). Hysterosonography sensitivity to diagnose endometrial pathologies were 90.08% (83.31 – 94.40) and the specificity 94.79% (IC: 65.85 – 82.10

Conclusions: Hysterosonography showed high sensitivity and specificity for the diagnosis of endometrial polyps, endometrial hyperplasia and normal endometrium.

KEYWORDS: HYSTEROSONOGRAPHY, HISTOPATHOLOGY, PATHOLOGY / CLASSIFICATION, SENSITIVITY AND SPECIFICITY, HOSPITAL JOSE CARRASCO ARTEAGA ECUADORIAN SOCIAL SECURITY INSTITUTE.