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Correlation between Hysterosonography and Hysteroscopy in the Diagnosis of submucosal fibroids in Women Attending the Gynaecological Endoscopic Surgery and Human Reproductive Teaching Hospital (CHRACERH)

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Open Journal of Obstetrics and Gynecology 2024年第11期14卷 1775-1785页

作者： Pascale Mpono Emenguele Henri Léonard Mol Vanina Ngono Akam Serge Robert Nyada Yves Bertrand Kasia Claude Hector Mbia Roosevelt Dongmo Etienne Belinga Claude Cyrille Noa Ndoua Jean Marie Kasia Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences University of Yaound 1 Yaound Cameroon Department of Obstetrics and Gynecology CHRACERH Yaound Cameroon

Background: submucosal myomas can be responsible for abnormal bleeding, spontaneous abortions or even infertility. Objectives: This study aimed to study the correlation between the diagnosis and classification of submucosal fibroids at hysterosonography and at hysteroscopy at Gynaecological Endoscopic Surgery and Human Reproductive Teaching Hospital (CHRACERH), Yaoundé, Cameroon. Methodology: We conducted a hospital-based cross-sectional study with retrospective data collection. Included were the files of patients in whom a hysteroscopy for uterine cavity evaluation was done from the 1st of January 2020 to the 31st of July 2022. The data collected were analysed using SPSS version 25 and Microsoft Excel 2013. Hysterosonographic findings were compared to those of hysteroscopy using Cohen’s kappa inter-observer agreement test. Results: A total of 104 women had available hysterosonography results prior to diagnostic hysteroscopy. The ages of the participants ranged from 26 to 65 years with a mean age of 39.92 ± 7.02 years. A total of 69 submucosal fibroids were identified at hysterosonography and 47 (68.1%) were found at hysteroscopy. There was agreement between the two methods in 13/17 (76.5%) cases of FIGO 0 fibroids, 21/30 (70.0%) of FIGO 1 fibroids and 13/22 (59.1%) of FIGO 2 fibroids. The overall agreement was moderate with a kappa coefficient of 0.478 (p Conclusion: The results present hysteroscopy as the gold standard for the diagnosis of submucosal myomas, but clinicians need to recognize utility of hysterosonography in certain situations.

关键词： submucosal fibroids Hysterosonography Hysteroscopy Correlation

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