Contrast sonography for uterine cavity assessment: a comparison of conventional two-dimensional with three-dimensional transvaginal ultrasound; a pilot study.
Fertil Steril 1996;
66:848-50. [PMID:
8893700 DOI:
10.1016/s0015-0282(16)58651-8]
[Citation(s) in RCA: 41] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE
To compare conventional two- (2-D) and three-dimensional (3-D) scanning of the uterine cavity with and without saline contrast medium.
DESIGN
Observational pilot study.
SETTING
University-based fertility service.
PATIENT(S)
Ten IVF patients requiring uterine cavity assessment.
INTERVENTION(S)
Two-dimensional and 3-D transvaginal scans before and after injection of saline into the uterine cavity.
MAIN OUTCOME MEASURE(S)
Number and type of uterine cavity abnormalities detected by each technique.
RESULT(S)
The 2-D scanning suggested cavity abnormalities in 4 of 10 women (fibroids, 3; hyperechoeic thick endometrium, 1). The 3-D scanning confirmed these and revealed one additional abnormality suggestive of a uterine septum. The 2-D scanning with saline injection diagnosed abnormalities in 5 of 10 (uterine septum, 1; fibroids, 3; endometrial polyp, 1). The 3-D contrast scanning with saline did not add any further information to 2-D contrast scanning with saline.
CONCLUSION(S)
In this pilot study, 3-D scanning to assess the uterine cavity appeared to offer no advantages over conventional 2-D contrast sonography.
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