Volume : 6, Issue : 1, January - 2017

COMPARATIVE EFFICACY OF DIAGNOSTIC HYSTEROSCOPY VERSUS DIRECTED BIOPSY IN PERIMENOPAUSAL ABNORMAL UTERINE BLEEDING

Dr. M. Meena, Dr . D. Narmadha

Abstract :

<p>&nbsp;<u style="text-align: justify;"><span style="font-size:18.0pt;&#10;line-height:115%">AIM:</span></u></p> <p class="MsoNormal" style="text-align:justify;text-indent:.5in;line-height:150%"><span style="font-size:18.0pt;line-height:150%">To evaluate the endometrium, type the endometrium, identification of intrauterine pathology in &nbsp;&nbsp;perimenopausal women with hysteroscopy.Comparison of visual findings with HPE report. To asses the correlation between hysteroscopy and hysteroscopy directed biopsy.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><u><span style="font-size:18.0pt;&#10;line-height:150%">SUBJECT AND METHODS:<o:p></o:p></span></u></b></p> <p class="MsoNormal" style="text-align:justify"><span style="font-size:18.0pt;&#10;line-height:115%">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This study was conducted in 200 perimenopausal women with abnormal uterine bleeding at Kasturba Gandhi hospital.Among&nbsp; which hysteroscope alone and hysteroscope&nbsp; directed biopsy taken and comparative study was done.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify"><b><u><span style="font-size:18.0pt;line-height:115%">RESULTS:<o:p></o:p></span></u></b></p> <p class="MsoNormal" style="text-align:justify"><span style="font-size:18.0pt;&#10;line-height:115%">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The mean age group 45-50 years,duration more than 6 months.On comparing the hysteroscopy findings&nbsp; with that of hysterectomy,its diagnostic accuracy for normal uterus is 87.5% &amp; for hyperplasia it is 86.36%,since 6cases turned out to have normal histology with hysterectomy.For endometrial polyp it has 83.33% accuracy for myoma &amp; atrophic endometrium it has 100% accuracy.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify"><b><u><span style="font-size:18.0pt;line-height:115%">CONCLUSION:<o:p></o:p></span></u></b></p> <p class="MsoNormal" style="text-align:justify"><span style="font-size:18.0pt;&#10;line-height:115%">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Our study concluded that hysteroscopy with directed biopsy is a powerful diagnostic tool with a high degree of diagnostic accuracy than hysteroscopy alone.<o:p></o:p></span></p>