Comparação entre os resultados de ultrassonografias transvaginais e de histeroscopias diagnósticas em um serviço público do estado de Sergipe

Abstract

Objective: To evaluate the indications and main findings of diagnostic hysteroscopy and compare the findings of transvaginal ultrasound (TVUS) with diagnostic hysteroscopy (VHD), assessing the sensitivity and specificity in the diagnosis of intrauterine pathologies. Materials and Methods: This is an observational, retrospective, and cross-sectional study based on medical records of patients who underwent transvaginal ultrasound and diagnostic hysteroscopy at a University Hospital between December 2015 and June 2023. Results: The mean age was 46.4 years ±12.35, range of 18 to 96 years. The main indications for hysteroscopy were as follows: polyp (406/ 49.8%), thickened endometrium post-menopause (177/ 21.7%), thickened endometrium in pre-menopause (85/ 10.4%), and fibroid (64/ 7.8%). The sensitivity and specificity of transvaginal ultrasound for any intrauterine pathology were 96.2% and 16.5%, respectively. Conslusions: The main indications for VHD were polyps and thickened endometrial lining after menopause on TVUS, which showed high sensitivity and low specificity for the diagnosis of intrauterine pathologies.