Istmocele: incidence by ultrasound and hysteroscopy and associated clinical symptoms in patients with a history of cesarean section

Q4 Medicine
Liz Quintero, O. Rangel, Nazira Monsalve, Silvia Parzanese
{"title":"Istmocele: incidence by ultrasound and hysteroscopy and associated clinical symptoms in patients with a history of cesarean section","authors":"Liz Quintero, O. Rangel, Nazira Monsalve, Silvia Parzanese","doi":"10.51288/00830308","DOIUrl":null,"url":null,"abstract":"Objective: To determine the incidence of isthmocele by ultrasound and hysteroscopy. Methods: An observational and cross-sectional, descriptive study, was carried out by applying a registration matrix to symptomatic patients who attended the IAHULA gynecological consultation in the period between January-June 2019 to those who underwent pelvic ultrasound and hysteroscopy. Results: A sample of 24 patients was obtained. The average age was 37 years; 91.7 % had pelvic pain, 54.2 % dyspareunia, 50 % SUA and 4.2 % infertility. Of the total sample 18 patients reported isthmocele by ultrasound and 20 by hysteroscopy. Conclusion: It is important that before symptoms such as pelvic pain, abnormal uterine bleeding, infertility and dyspareunia, isthmocele is considered as a possible cause and differential diagnosis, being an easy defect to diagnose and treat. This study demonstrates a very good correlation between the results, with ultrasound reporting a sensitivity of 100 % and specificity of 67 %. The incidence of isthmocele was 75 % by ultrasound and 83.3 % by hysteroscopy.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista de Obstetricia y Ginecologia de Venezuela","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.51288/00830308","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To determine the incidence of isthmocele by ultrasound and hysteroscopy. Methods: An observational and cross-sectional, descriptive study, was carried out by applying a registration matrix to symptomatic patients who attended the IAHULA gynecological consultation in the period between January-June 2019 to those who underwent pelvic ultrasound and hysteroscopy. Results: A sample of 24 patients was obtained. The average age was 37 years; 91.7 % had pelvic pain, 54.2 % dyspareunia, 50 % SUA and 4.2 % infertility. Of the total sample 18 patients reported isthmocele by ultrasound and 20 by hysteroscopy. Conclusion: It is important that before symptoms such as pelvic pain, abnormal uterine bleeding, infertility and dyspareunia, isthmocele is considered as a possible cause and differential diagnosis, being an easy defect to diagnose and treat. This study demonstrates a very good correlation between the results, with ultrasound reporting a sensitivity of 100 % and specificity of 67 %. The incidence of isthmocele was 75 % by ultrasound and 83.3 % by hysteroscopy.
有剖宫产病史的患者超声和宫腔镜检查发现的囊肿发生率及相关临床症状
目的:通过超声和宫腔镜检查确定峡部膨出的发生率。方法:通过将登记矩阵应用于2019年1月至6月期间参加IAHULA妇科咨询的有症状患者和接受盆腔超声和宫腔镜检查的患者,进行了一项观察性和横断面描述性研究。结果:获得24例患者的样本。平均年龄37岁;91.7%患有盆腔疼痛,54.2%患有性交困难,50%患有SUA,4.2%患有不孕。在全部样本中,18名患者通过超声检查报告峡部膨出,20名患者通过宫腔镜检查报告。结论:在出现盆腔疼痛、异常子宫出血、不孕、性交困难等症状之前,峡部膨出是一种可能的病因和鉴别诊断,是一种易于诊断和治疗的缺陷。这项研究证明了结果之间的良好相关性,超声报告的敏感性为100%,特异性为67%。峡部膨出的发生率超声检查为75%,宫腔镜检查为83.3%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Revista de Obstetricia y Ginecologia de Venezuela
Revista de Obstetricia y Ginecologia de Venezuela Medicine-Obstetrics and Gynecology
CiteScore
0.20
自引率
0.00%
发文量
62
期刊介绍: Revista de Obstetricia y Ginecología de Venezuela. Sociedad de Obstetricia y Ginecología de Venezuela. Ayudar a todos los médicos prácticos a mantenerse al día en los desarrollos a medida que ocurren en Obstetricia y Ginecología. Trimestral. Rev. Osbtet. Ginecol. Venez
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信