Global Journal For Research Analysis (GJRA)

DR.M.MEENA; DR .D.NARMADHA

Volume : VI, Issue : I, January - 2017

COMPARATIVE EFFICACY OF DIAGNOSTIC HYSTEROSCOPY VERSUS DIRECTED BIOPSY IN PERIMENOPAUSAL ABNORMAL UTERINE BLEEDING

Dr. M. Meena, Dr . D. Narmadha

Abstract :

AIM:

To evaluate the endometrium, type the endometrium, identification of intrauterine pathology in perimenopausal women with hysteroscopy.Comparison of visual findings with HPE report. To asses the correlation between hysteroscopy and hysteroscopy directed biopsy.

SUBJECT AND METHODS:

This study was conducted in 200 perimenopausal women with abnormal uterine bleeding at Kasturba Gandhi hospital.Among which hysteroscope alone and hysteroscope directed biopsy taken and comparative study was done.

RESULTS:

The mean age group 45-50 years,duration more than 6 months.On comp� the hysteroscopy findings with that of hysterectomy,its diagnostic accuracy for normal uterus is 87.5% & for hyperplasia it is 86.36%,since 6cases turned out to have normal histology with hysterectomy.For endometrial polyp it has 83.33% accuracy for myoma & atrophic endometrium it has 100% accuracy.

CONCLUSION:

Our study concluded that hysteroscopy with directed biopsy is a powerful diagnostic tool with a high degree of diagnostic accuracy than hysteroscopy alone.