الفهرس 
Chronic EndometritisOnly 14 pages are availabe for public view
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Abstract
Office hysteroscopic examination is now an established step in the diagnostic work up of cases with abnormal uterine bleeding, infertility, and recurrent miscarriage that can be performed safely and efficiently without anesthesia in most cases.
Hysteroscopy offers great assistance for the interpretation of uncertain findings from other diagnostic methods. Furthermore it enables direct visualization of cervical canal, uterine cavity and increase the precision and accuracy in the diagnosis of intrauterine abnormalities.
This study aimed to assess the diagnostic value of diagnostic hysteroscopy in Patients with chronic endometritis.
This study was conducted at outpatient clinic of obstetrics and gynecology Department at endoscopy and early cancer detection unit (Ain Shams University). during the period between June 2010 and april 2012,. On,100 patients who sought treatment for infertility or abnormal uterine bleeding.
All patients had infertility or abnormal uterine bleeding attending hysteroscopy unit with hysteroscopic picture suggest endometritis as hyperemia, edema and micropolyps.
This study shows that hysteroscopic findings suggesting chronic endometritis were found in 80 cases, and weren’t found in 20 (control)
Histopathological examination confirm The diagnosis of chronic endometritis in 68 of the cases, and 4 of the control by detection of plasma cells in the endometrial biopsy. The sensitivity,specificity, and positive and negative predictive values of hysteroscopy based on detection of hyperemia, edema and, micropolyps were 94.44%,57.14%,85% and 80% respectively.
There was significant association between hysteroscopic picture suggesting chronic endometritis and its confirmation by Histopathological examination of endometrial biopsy from the suspected area.
from the above, It is concluded that hysteroscopy has much to offer in the diagnosis of chronic endometritis for this reason it should be systematically assessed on patients with infertility or abnormal uterine bleeding.