Uterine cavity assessment prior to in vitro fertilization: comparison of transvaginal scanning, saline contrast hysterosonography and hysteroscopy

摘要: A total of 44 patients undergoing in vitro fertilization (IVF) and requiring uterine cavity assessment agreed to have both saline contrast hysterosonography (ISCHS) hysteroscopy. SCHS was performed following a baseline transvaginal scan by injection into the during continuous scanning. Hysteroscopy with flexible fiberscope 3.6-mm outer diameter; 38 women (84%) underwent procedures. diagnosed intrauterine abnormalities 16 women. complete agreement 13 cases. As screening test for any abnormality, had 87.5% sensitivity, 100% specificity, positive predictive value 91.6% negative value. In 14 women, an abnormal apparent on scanning (TVS). However, TVS, unlike SCHS, could not (1) confidently diagnose submucosal fibroids presence uterus multiple fibroids; (2) distinguish between hyperplastic endometrium large polyp; or (3) differentiate arcuate septate uterus. addition, ovarian pathology TVS five women: endometrioma (n = l), complex cysts 2) polycystic ovaries 2). is simple, accurate, well-tolerated procedure that can be within fertility unit, avoiding invasive expensive diagnostic Significant findings treated operative hysteroscopy prior commencing IVF treatment cycle. Copyright © 1997 International Society Ultrasound Obstetrics Gynecology