Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1610
Título: Estudo do Aborto Recorrente. Ainda há Lugar para a Histerossalpingografia?
Outros títulos: Study of Recurrent Miscarriage. Is Hysterosalpingography Necessary?
Autor: Aboim, L
Mendes, N
Pinto, G
Rosa, D
Serrano, F
Palavras-chave: Aborto Recorrente
Histerossalpingografia
Ultrassonografia
Estudos Prospectivos
MAC OBS
Data: 2013
Editora: Federação das Sociedades Portuguesas de Obstetrícia e Ginecologia
Citação: Acta Obstet Ginecol Port 2013; 7 (4): 261-267
Resumo: Overview and Aims: The investigation of recurrent miscarriage includes the study of uterine morphology. 3D ultrasound allows the evaluation of the morphology (cavity and outer contour), reducing the need for invasive tests such as hystero - salpingography (HSG), hysteroscopy and laparoscopy. We evaluated the diagnostic agreement between HSG and 3D ultrasound in the study of the uterine cavity morphology. Study Design: Prospective study. Population: A total of 34 women referred to our institution with a history of recurrent miscarriage. Methods: To compare the results of 3D ultrasound and HSG, all women underwent both exams. 3D scans were performed by the same operator and HSG were evaluated by the same clinician. The concordance study was performed using the Kappa coefficient. Results: With 3D ultrasound and HSG, uterine anomalies were diagnosed in 52.9% (18/34) and 47% (16/34) of the cases and congenital malformations were the most frequent findings. The agreement between the two techniques was excellent(K = 0.825). The three cases of diagnostic disagreement were analyzed. Conclusion: A high level of diagnostic agreement was observed between HSG and 3D ultrasound. The 3D ultrasound, a low cost and well tolerated technique, when performed by an experienced operator, is the first line exam to study the uterine morphology in women with recurrent miscarriage.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1610
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