Abstract：
OBJECTIVE:To evaluate the accuracy of pelvic ultrasonography, and the characteristics of women with inaccurate ultrasonographic diagnosis for uterine leiomyomas. MATERIALS AND METHODS:Preoperative pelvic ultrasonographic and postoperative pathologic findings of all women, who underwent hysterectomies for pelvic pain, menorrhagia and/or leiomyomas between December 1995 and July 2002, were evaluated. Three hundred thirty-three women, who had a transabdominal or transvaginal pelvic ultrasonography within 1 year prior to the hysterectomy, were included in the study. We assessed the accuracy of ultrasonography for uterine leiomyomas in this group, and defined the characteristics of women with inaccurate studies. RESULTS:Despite its high sensitivity (95.9%), ultrasonography had only 42.5% specificity for detecting leiomyomas. Its positive predictive and the negative predictive values were 92.4% and 58.6%, respectively. Adenomyosis was found in the majority of the women with false-positive (70.8%) and false-negative (83.3%) results. In both groups, previous pelvic surgery and high body mass index (BMI) were also common. CONCLUSION:Adenomyosis is the most common final diagnosis in women with inaccurate ultrasound reports for uterine leiomyomas.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Harmanli OH,Bevilacqua SA,Dandolu V,Chatwani AJ,Hernandez Edoi
10.1007/s00404-005-0037-7subject
Has Abstractpub_date
2005-12-01 00:00:00pages
146-9issue
3eissn
0932-0067issn
1432-0711journal_volume
273pub_type
杂志文章abstract：OBJECTIVES:To evaluate the outcome of hysteroscopic myomectomy in patients with infertility and recurrent abortions. MATERIALS AND METHODS:This was a retrospective clinical analysis of 186 patients who underwent hysteroscopic myomectomy by monopolar electrode loop. A second-look diagnostic hysteroscopy was performed i...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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pub_type： 杂志文章,meta分析
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journal_title：Archives of gynecology and obstetrics
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doi：10.1007/BF02390860
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,meta分析
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更新日期：2020-06-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2005-12-01 00:00:00
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