Ultrasonography criteria in differential diagnosis of endometrial polyps and chronic endometritis


  • S.M. Korniyenko
Keywords: endometrium polyp, endometritis, ultrasound, differential diagnostics, hysteroscopy

Abstract

The aim of this study was to determine the accuracy of ultrasonography in the diagnosis of endometrial polyps and the development of criteria for a differentiated approach to the hysteroscopy. Hysteroscopic study was conducted of 160 women aged 35-53 years who are at transvaginal ultrasound was diagnosed with «endometrial polyp». Women with chronic endometritis (9 cases, 5.6%) were the main group and 146 women with a confirmed diagnosis of endometrial polyp - a comparison group. The frequency of false-positive diagnoses of endometrial polyp was 8.8%. It is shown that the most informative signs of chronic endometritis is the presence of micro polyps (2 mm), especially multiple, hyperechoic inclusions in the endometrium; increase in endometrial thickness and mismatch of the thickness of the menstrual cycle phase. Upon detection of ultrasound endometrial polyps smaller than 2 mm in the findings suggest the need to exclude the presence of chronic endometritis, of anti-inflammatory therapy, and only subsequently the direction of patients to hysteroscopy.

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Published
2017-09-29
How to Cite
Korniyenko, S. (2017). Ultrasonography criteria in differential diagnosis of endometrial polyps and chronic endometritis. Reports of Vinnytsia National Medical University, 21(1(1), 49-54. Retrieved from https://reports-vnmedical.com.ua/index.php/journal/article/view/73