Ultrasound diagnostic adenomyosis

Abstract

To evaluate informational content of sonography for diagnosing of adenomyosis and endomyometritis in case of diffuse changes in myometrium 142 fertile patients who undergone transvaginal sonography with Doppler, dilatation and curettage with 4-foci loop biopsy of myometrium or zug-biopsy of endometrium under hysteroscopy control were examined. The control group consisted of 22 patients with male factor infertility. For differential evaluation of ultrasound markers of adenomyosis and endomyometritis discriminate function analysis was used. For further evaluation of predictive potential of the resulting discriminant function the data of ultrasound examination of 86 patients of prospective group were processed. Sonography with the use of the resulting discriminant function has allowed to diagnose adenomyosis with sensibility 96,4%; specificity 91,7%; likelihood ratio of positive result (LR+) 11,61; of negative result (LR-) 0,04; predictive validity of positive test (Р+) 0,964; of negative test (Р-) 0,917. For endomyometritis diagnosing sensibility amounted to 93.9%; specificity - 91,7%; LR+ - 11,31; LR- - 0,07; Р+ - 0,939; Р- - 0,917.