SEPTATE UTERUS - DETECTION AND PREDICTION OF OBSTETRICAL COMPLICATIONS BY DIFFERENT FORMS OF ULTRASONOGRAPHY

The aims of the study were to compare the accuracy of transvaginal ult rasonography, transvaginal color Doppler sonography, hysterosonography , and three-dimensional ultrasonography in detection of septate uterus and to evaluate the occurrence of obstetrical complications in relati on to septal dimension and vascularity. Each patient underwent transva ginal ultrasonography and color Doppler examination, whereas hysteroso nography and three-dimensional ultrasonography were carried out in 76 and 86 patients, respectively. The sensitivity of different sonographi c imaging modalities ranges between 95.21% and 99.29%. Color and pulse d Doppler sonographic studies of the septal area revealed vascularity in 71.22%. Patients with vascularized septa had a higher prevalence of obstetrical complications than those with avascularized septa (P < 0. 05). Three-dimensional ultrasonography and hysterosonography are highl y accurate diagnostic tools for detection of uterine septa. We found n o correlation between septal dimension and rate of obstetrical complic ations, although pregnancy loss was most likely to occur in patients w ith vascularized septa.