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《Chinese Journal of Medical Imaging Technology》 2010-09
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Comparison of three-dimensional saline infusion sonohysterography and hysteroscopy for the typing of submucous uterine myoma

LIAO Lin, ZHAO Jing, YANG Jia-xiang (Department of Ultrasound, Sichuan Provincial Hospital for Women and Children, Chengdu 610031, China)  
Objective To evaluate the clinical value of three-dimensional saline infusion sonohysterography (3D-SIS) for the typing of submucous uterine myoma before operation. Methods Sixty-two patients with history of menorrhagia were diagnosed as submucous uterine myoma with two-dimensional transvaginal ultrasound (TVS). Fibroids were classified with 3D-SIS and hysteroscopy (HS) according to the European Society of Hysteroscopy Classification of Submucous Fibroids. The results were then compared with the postoperative results. Results A total of 73 submucous uterine myomas were identified in 62 patients and comfirmed with operation. The consistency of the two methods was 100% (13/13) in 0 type, 92.31% (24/26) in Ⅰ type, and 82.35% (28/34) in Ⅱ type submucous uterine myomas. The overall consistency of the two methods was up to 89.04% (65/73). Conclusion Preoperative classification of submucous uterine myomas with 3D-SIS has important clinical value to guide clinical selection of appropriate operative method.
【CateGory Index】: R737.33
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