ALTMIÞBEÞ OLGUDA DÝAGNOSTÝK HÝSTEROSKOPÝ BULGULARIMIZ

Bu çalýþma, Ankara Numune Hastanesi Kadýn Hastalýklarý ve Doðum Kliniði'nde deðiþik endikasyonlarla histeroskopiye alman 65 vakanýn deðerlendirilmesiyle yapýldý. Histeroskopik olarak, anormal uterin kanamalý 22 vakadan 6'sýnda normal uterin kavite, 7'sinde submuköz leiomyom. 3'ünde endometrial polip, 2'sinde servikal polip, 2'sinde endometrial hiperplazi, 2'sinde atrofik endometrium tespit edildi. Histeroskopinin, anormal uterin kanamada organik sebeplerin ayýrýmýnda, transvaginal ultrasonografiden sonra ikinci basamak tetkik olduðu ve ardýndan yapýlacak probe küretaja yol gösterdiði saptandý. Histerosalpingografi(HSG)'si normal uterin kavite olarak deðerlendirilen 16 infertil hastanýn tamamýnda histeroskopik olarak da patoloji saptanmadý. HSG'de dolma defekti olan 11 hastadan 3'ünde ise bunu açýklayacak histeroskopik bulgu tespit edilmedi. Servikal eksternal orifisten ipi izlenemeyen RÝA nedeniyle histeroskopi yapýlan 9 vakadan 8'inde RÝA'nýn, kavite içinde olduðu saptandý ve 5'inde pozisyonu düzeltilerek yerinde býrakýldý. Ýnkomplet abortus sonrasý rest küretaj yapýlan 6 vakadan birinde plasental retansiyon ve uterus rüptürü þüphesi olan bir vakada da rüptür yeri tespit edildi.

DIAGNOSTIC HYSTEROSCOPIC FINDINGS IN OUR 65 CASES

This clinical study was performed at Ankara Numune Hospital and 65 patients with different pathologies were examined by hysteroscopy. 22 patients with abnormal uterin bleeding were analysed. It was obtained that 6 patients had normal uterin cavity, 7 patients with submucosal leiomyoma, 3 patients with endometrial polyp, 2 with cervical poiyp, 2 with endometrial hyperplasia, 2 with atrophic endometrium. By this way, we think that hysteroscopy is secondary procedure to transvaginal ultrasonography when examining abnormal uterine bleeding. Hysteroscopy could be a guide to probe curettage. Both hysteroscopy and hysterosalpingography(HSG) gave same results in 16 patients with normal uterin cavity. 3 of 11 patients with filling defects in HSG were found that there was no reason to explain the pathology with hysteroscopy. 9 patients with missing intrauterin device were examined by hysteroscopy and it was found that 8 of them were placed in uterin cavity. 5 of all were corrected for normal position. 6 patients with incomplet abortion were examined by resting curettage and hysteroscopy. One of them had retantion of the placenta. When examining the patient with conspicion of rupture of the uterus, rupture site was located with hysteroscopy.