COMPARITIVE STUDY ON SALINE INFUSION SONOGRAPHY VS. CONVENTIONAL ULTRASOUND IN EVALUATION OF ENDOMETRIAL PATHOLOGY IN PATIENTS wITH ABNORMAL UTERINE BLEEDING

Objective: To determine the accuracy of conventional sonography (TAS/TVS) and saline infusion sonohysterography (SIS) in the evaluation of endometrial pathology and to compare the diagnostic accuracy after hysterectomy.

Methods: Prospective comparative study of TAS/ TVS and SIS in the evaluation of endometrial pathology who are being subjected to hysterectomy .Then to compare the result with histopathology report

Result: 100 patients were included in the study. 73.34% were between age group of 40 -49 years. Menorrhagia was the commonest symptom (55.3%) and most common finding was normal endometrium (40%) followed by intramural myoma and adenomyosis (23%). In comparison to surgical histopathology, TVS has 96% specificity and 98.9%negative predictive value for detection of submucous myoma and nearly equal value for endometrial polyp, endometrial hyperplasia & atrophic endometrium but sensitivity and positive predictive value is less, 66%and 40% respectively for submucous myoma. In comparison to surgical histopathology, SIS has 95.6% sensitivity for detection of intramural myoma & adenomysis It has nearly 96% specificity and negative predictive value for detection of submucous myoma, endometrial polyp endometrial hyperplasia, and atrophic endometrium

Conclusion: SIS is a simple, low cost still highly sensitive and specific technique to detect intrauterine pathology when TVS findings are inconclusive, and it can obviate the need of office hysteroscopy.