الفهرس 
Anatomical considerationOnly 14 pages are availabe for public view
 |  | from | 107 |  |  |
| | | from | 107 | | |
Abstract
The aim of this study is to evaluate the diagnostic accuracy of 3 D
sonohysterography (3DSHG) in assessment of the endometrial cavity in
infertile women,as compared to the Gold standard of hysteroscopy.
Fifty infertile females were included in our study in the period between
March 2009 and August 2009. They were recruited based on their complaint
which was reproductive failure (recurrent abortion or infertility) after
completing investigations that included; Hysterosalpingography HSG and
2D ultrasound. Semen analysis was done to exclude male factor as well.
All patients underwent the following transvaginal techniques; 2D
ultrasound,3D US 2D SHG, 3DSHG. All patients underwent hysteroscopy
for confirmation of ultrasound results and management of found lesions.
The results of our study showed sensitivity, specificity , NPV, PPV of 2D
US, 3D US, 2D SHG, 3D SHG to be;
The highest accuracy for diagnosing any abnormality was found with 2D
and 3D sonohysterography and both were similar 89.36%.The highest
sensitivity and specificity of these two techniques were in diagnosis of
Mullerian anomalies reaching 100% and least with IU synechiae in which
their accuracy was 91.67%.
Our study gave similar accuracy for 2DSHG and 3D SHG. Since 2D
sonohysterography is an easy cheap and simple technique and uses
available ultrasound machines without the need for the expensive 3D
technology it should be the first line of investigation in infertile females
with uterine abnormalities.
Key Words:
Transvaginal ultrasound, Sonohysterography, Hysteroscopy,
Infertility , uterine cavity abnormalities