Remón CC, García PM, Pernia PL, Pérez AF, Fernández VÁ

Language: Spanish
References: 20
Page: 1-11
PDF size: 75.41 Kb.

ABSTRACT

Introduction: because of the high sensitivity, high specificity, availability and low cost, of the transvaginal ultrasound, it appears the election technique in the initial study of the majority of the clinical manifestations of the woman, especially in her fertile age.
Objective: to confirm the presence of gynecological alterations, that were suspected by the clinic and the physical examination.
Methods: it was made a descriptive study whose universe was constituted by 136 patients that assisted to the preoperative consult in the gynecobstetric hospital Fe del Valle of Manzanillo, in the period between January and December of the 2011. It was applied a transvaginal ultrasound in addition to the anatomopatological examination in order to relate them. There were included the age, parity and the precocious sexual relations (before the 18 years), the symptomatology referred by the patient, the results of the physical examination, the echographic and anatomopathological findings.
Results: the gynecological alterations were more frequent between the 30 and 39 years (n=71; 52, 20%), being the multiparous the most affected (53 patients; 38, 9%), presenting like signs and fundamental symptoms the tumor, more menstrual disorders and the pain with leucorrhea (n=50; 36, 7%). In the uterus the echogenic nodular image located was presented with greater frequency (n=70; 85, 36%). The most frequent conditions found by the echography were, the uterine myoma(n=82; 60,29%) and the pelvic inflamatory disease (68,9%).
Conclusions: the gynecological alterations were more frequent between the 30- 39 years, in the multiparous. The most frequent symptoms were the menstrual disorders and the pain with leucorrhea. The more frequent echographic images in the uterus was the echogenic nodular image located. The most frequent alterations were the uterine myoma and the pelvic inflamatory disease. There was coincidence between the initial clinical diagnostic and the echographic and anatomopatological diagnosis.

REFERENCES

1. Callen Peter W. Ecografía en Obstetricia y Ginecología. Buenos Aires: Médica Panamericana; 2009. p. 597-653. Multimed. 2013; 17(4) 10

2. Oliva AJ. Ultrasonografía diagnóstica fetal, obstétrica y ginecológica. La Habana: ECIMED; 2010.p.301-450.

3. Parsons AK, Lense JJ. Sonohysterography for endometrial abnormalities: Preliminary results. J Clin Ultrasound. 2009; 21:87-95.

4. Segura Carvajal JM. Principios físicos de la ultrasonografía abdominal. La Habana: Científico-técnica; 1985. p.340-59.

5. Aboud E. A five-year review of ectopic pregnancy. Clin Exp Obstet Ginecol. 1997; 24(3):127-9.

6. Kimura K, Stoopen ME, Ros P. Radiología e Imagen diagnóstica y terapéutica. Lippincott William & Wilkins;2010, 241-43

7. Fleischer AC, Gordon AN. Transabdominal and transvaginal sonography of pelvic masses. Ultrasound Med Biol. 1989; 15 (6):529-33.

8. Dorfman SF. Deaths from ectopic pregnancy, United Estates 2008 to 2009. Obstet Gynecol. 2010; 62:334.

9. Márquez MA. Experiencia personal sobre anatomía patológica de los tumores malignos de ovario. Tokogineco Prac. 2004; 31 (3-6): 120-2.

10. Kerin JF, Kirby C, Morris D. Incidence of luteinized unruptured follicle phenomeron in cycling women. Fertil Steril.1983; 40(5):620-6.

11. Lande IM, MCHill. Adnexal and cul-de-sac adnormalities: transvaginal sonography. Radiology. 1988; 166(2):325-32.

12. Sivyer P. Pelvic ultrasound in women. World J. Surg. 2000; 24(2):188-97.

13. Alleem F, Penniss J, Zeitoun K, Predanic M. The role of the color Doppler in diagnosis of endometriomas. Ultrasound Obstet Gynecol. 1995; 5(1):51-4.

14. Rotten S. Introduction to Symposium on transvaginal ultrasonography. J Clin Ultrasound. 1990; 18:225. Multimed. 2013; 17(4) 11

15. Numoto A, Akamatsu H, Seribak, Itoh I. Quantitative Ultrasound Diagnosis of Endometrial Cysts. Clin Exp Obstet Ginecol. 1992; 19(4): 226-34.

16. Malpani A, Singer I, Wolverson MK, Merenda G. Endometrial hyoerplasia: Value of endometrial thickness in ultrasonography diagnosis and clinical significance. J Clinic Ultrasound. 1990; 18 (3): 173-7.

17. Ault KA, Faro S. Pelvic inflamatory disease. Current diagnostic criteria and treatment guidelines. Postgrad Med. 1993; 93 (2): 85-6, 89-91.

18. Barois V, Stoopen M, Kimura K. El ultrasonido endovaginal en Gineco-Obstetricia. Rev Mex Radiol. 1990; 44 (1): 17-24.

19. Romanowsky B. Inflammatory Disease, current approaches. Can Fan Physician. 1993; 39: 346-9.

20. Savey L, Colau JC. Acute pelvic pain in women Rev Prat. 2001; 51 (15):1657-60.