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Year:
1998
| Volume: 6
| Issue: 4
| Pages: 167-169
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Actual Problem |
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EVALUATION OF ABNORMAL UTERINE BLEEDING BY TRANSVAGINAL COLOUR DOPPLER SONOGRAPHY
Svetlana DRAGOJEVIC-DIKIC, Atanasije MARKOVIC, Misa DJUKIC, Mladenko VASILJEVIC, Jelena POPOVIC-LAZIC, Snezana RAKIC, Milica DRAGANIC, Svetlana JANKOVIC |
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DOI:
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Abstract: |
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Treatment of abnormal uterine bleeding understands a prompt diagnostic procedure, for the sake of defining the etiologic factor of disease. The abnormal uterine bleeding is more common in the perimenopausal than in the postmenopausal women, and it is more frequent sign of an endometrial pathological change. Fewer percentage of women with unexpected and/or acyclic and prolonged bleeding have endometrial cancer. Seventy one (71) patients with abnormal uterine bleeding, older than 40 years , of which ten (10) were in postmenopause, have been tested. Prior to explorative curettage and histopathological analysis, ultrasonographic and chemodynamic testing, at the uterine blood vessels level (uterine artery bilaterally) had been performed by transvaginal colour Doppler method. Histopathologic results indicated four types of represented changes , on the basis of how the patients were divided into the groups: I. proliferative endometrium - 20 patients, II. endometrial adenocarcinoma - 23 patients, III. various forms of endometrial hyperplasia - 26 patients, 4. atrophic endometrium - two patients. Significant statistic difference in the endometrial thickness was established between groups I and II, and endometrial cancer was not found in less than 8 mm thick endometrium. By analysing chemodynamic parameters, significantly lower Pi values were obtained in the group of patients with pathologically altered endometrium, compared to other groups. Transvaginal colour Doppler sonography has its significant place in the diagnostic process for evaluation of abnormal uterine bleeding in perimenopausal and postmenopausal women. Doppler sonography can help in differentiating physiological from malignant endometrial changes and in deciding on the most efficient therapeutical regimen. |
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Key words:
TRANSVAGINAL COLOUR DOPPLER; ABNORMAL UTERINE BLEEDING |
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