Journal of Cardiovascular Disease Research
Colour Doppler Transvaginal Ultrasonography and Histopathological Diagnosis in Abnormal Uterine Bleeding Cases
Megha Tripathi, Charu Chandra, Rahul Mangal , Shakuntla Godara
JCDR. 2023: 1497-1501
Abstract
To find out role of colour Doppler transvaginal ultrasonography (CDTU) in diagnosis ofabnormal uterine bleeding (AUB) cases and to confirm etiological diagnosis by histopathological examination. Methods- In this cross sectional study, 141 patients with AUB arriving in Gynaecology OPD of SantokbaDurlabhji Memorial Hospital underwent CDTU.Then endometrial biopsy was done. Endometrial thickness, pulsatility index (PI) and resistive index (RI) of uterine arteries were measured. Results-The sensitivity of CDTU in diagnosis of abnormal HPR taking RI and/or PI abnormal- 62.86 %, specificity- 92.45%, positive predictive value- 73.33%, negative predictive value- 88.29% and diagnostic accuracy- 85.11%. Endometrial carcinoma had minimum RI (0.524 ± 0.135) and minimum PI (1.054 ± 0.534). Conclusions- CDTU can be used to select women with AUB who would further benefit from use of endometrial biopsy to make a definite diagnosis at an earlier stage and to identify those who donot need further invasive procedures
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