Resumo

SEPULVEDA AGUDELO, Janer; CRISTANCHO-SOLANO, Mayra  e  BLANCO-FUENTES, Lizeth. Hysterosonography experience in University Hospital of Santander. Rev. Univ. Ind. Santander. Salud [online]. 2010, vol.42, n.3, pp.256-260. ISSN 0121-0807.

Introduction: Sonohysterography is an ultrasound evaluation of the uterine cavity after insufflation of saline. The most common indication for sonohysterography is abnormal uterine bleeding. Objective: The objectives of this study are to describe the findings of sonohysterography in the period studied in the University Hospital of Santander and encourage the use of sonohysterography in our environment, by teaching technique for the new professionals in gynecology. Materials and methods: A case series study of patients scheduled for sonohysterography in the Hospital Universitario de Santander between February 2007 and June 2008 who were assessed the uterine cavity by sonohysterography, presenting a modification to the technique. The variables to measure are the age indication of hysterosonography, intracavitarios findings, side effects. Results: The indications were: Abnormal uterine hemorrhage 43.3%, uterine myomatosis 21.6%, endometrial injury of the polyp type 27.0% and infertility 5.4%, müllerian anomalies 2.7%. The most common intracavity findings were: normal hysterosonography 51.4%, endometrial polyp 32.4%, and submucous myoma 16.2%. Side effects are presented as pelvic pain and fainting episode of profuse vaginal bleeding without hemodynamic compromise. Conclusions: The sonohysterography is a safe procedure that allows an assessment of the uterine cavity, without significant side effects as demonstrated by our experience. The modification to the technique may avoid the discomfort of the patient, to make once introduced transvaginal transducer, but requires randomized controlled studies to confirm this statement. Salud UIS 2010; 42: 256-260

Palavras-chave : Hysterosonography; sonohysterography; abnormal uterine bleeding; uterine cavity diseases.

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