The accuracy of transvaginal sonography in detecting retained products of conception after first-trimester sponstaneous abortion

Citation
D. Botsis et al., The accuracy of transvaginal sonography in detecting retained products of conception after first-trimester sponstaneous abortion, PRENAT N M, 6(2), 2001, pp. 112-115
Citations number
10
Categorie Soggetti
Reproductive Medicine
Journal title
PRENATAL AND NEONATAL MEDICINE
ISSN journal
13598635 → ACNP
Volume
6
Issue
2
Year of publication
2001
Pages
112 - 115
Database
ISI
SICI code
1359-8635(200104)6:2<112:TAOTSI>2.0.ZU;2-C
Abstract
The aim of this study was to determine the reliability and diagnostic accur acy of transvaginal sonography (NS) in selecting women who presented in our department with clinical symptoms of spontaneous abortion and were thought to require a uterine evacuation. Forty-six patients were divided in two gr oups: group A included 24 patients who had a negative TVS examination for r etained products of conception, with a homogeneous, well-defined endometria l stripe between the endometrium and myometrium. Group B consisted of 22 pa tients with a positive NS examination for retained products of conception, with a heteroechogenic endometrial stripe and abnormal surface between the endometrium and myometrium. All women gave informed consent for dilatation and curettage (D&C) followed by histopathological examination. NS had a sen sitivity of 95%, a specificity of 88% and a positive predictive value of 86 %. TVS can be a useful technique in cases of spontaneous abortion, in decid ing which patients need to undergo surgery or expectant management.