Resultados comparativos entre achados histeroscópicos e ultrassonográficos transvaginais em serviço público

Abstract

Objective: To evaluate findings of transvaginal ultrasonography and video hysteroscopies in women from a reference center in Aracaju-SE, comparing the results among themselves and as biopsies performed. Method: Retrospective observational study with 361 women aged 20 to 81 years submitted to diagnostic hysteroscopy and ultrasonography, attended at the Center for Integral Attention to Women's Health (CAISM), where the age, origin, indication of hysteroscopy, ultrasonographic diagnosis, hysteroscopic and histopathological. Results: The studied population of 361 patients with average age of 46.61 years and standard deviation of 11.8. The most frequent ultrasonographic and hysteroscopic findings were for endometrial polyp with 50.69% (183) and 47.09% (170), respectively. Biopsies were performed in 250 patients, with 42.8% of them being the most frequent endometrial polyp (107). Among ultrasonographic and hysteroscopic findings, there was a significant association for the diagnosis of endometrial polyp (p-0.001), endometrial thickening (p-0.001) and submucous myoma (p-0.001). Comparing anatomopathological and hysteroscopic findings, there was a significant association between submucosal myoma and endometrial polyp (p-0.002 and p-0.001, respectively). There was no significant association for the diagnosis of endometrial thickening (p-0.382) and submucosal myoma (p-0.075) when comparing biopsies and ultrasonography, but seen for endometrial polyp (p-0.049). Conclusion: A main indication for hysteroscopy and the main result of anatomopathological examination for endometrial polyp. There was a significant association for the results of polyp, endometrial thickening and myoma when comparing hysteroscopy and ultrasonography, and in the comparison between this examination and biopsy there is only a significant association for polyp.