Estudio comparativo de ecografía transvaginal vs histeroscopia en paciente femeninas con sangrado uterino anormal realizado en Hospital IEES Ceibos periodo 2021.

Abstract

Introduction: Imaging methods in the detection of uterine pathology are of vital importance for staging, following up after performing any therapeutic activity, early detection of tumor pathology. Uterine pathology affects the quality of life of women and is one of the main causes of mortality in this age group, just as there has been a fight for the detection of cervical cancer through the application on demand of techniques such as Pap smears, the hysteroscopy and ultrasound should become routine screening techniques, in this study we seek to compare the efficacy and sensitivity of ultrasonography vs. hysteroscopy. Methodology: This is a retrospective study on patients diagnosed with uterine pathology who attend due to abnormal uterine bleeding in which they used the two imaging techniques described above during the year 2021 in all the services offered by the IEES Ceibos hospital. Results: During the year 2021, 1098 patients were treated for SUA, of which 1027 patients for uterine bleeding, of which a sample of 198 patients was obtained, in 83% of these patients a definitive diagnosis was established under the ICD classification10 relying on some imaging method. To reach a definitive diagnosis, 28 colposcopies were performed in our study population, the transvaginal ultrasound technique was preferred 185 studies vs 41 pelvic ultrasounds, some of which ended in transvaginal studies (8 in total) 20%, the tomographies performed were 19. The most prevalent diagnosis was uterine leiomyoma with 58%, followed by endometriosis 8%, uterine polyp 6%, excessive and infrequent menstruation with irregular cycle 5%, 3% other pathologies.