Farhat Ali
2016 International Journal of Advanced Research  
In most women with peri and post menopausal bleeding have non malignant endometrial changes. However' uterine currettage is mandatory to exclude malignant changes. Diagnostic curretage has been the method of choice for many years to diagnose cancer of endometrium in patients with post menopaual bleeding. Although it is a simple technique, however it is an invasive and uncomfortable procedure and not without danger. For this reason many different methods have been developed to minimize the need
more » ... f currettage. Trans-vaginal sonography and color doppler of uterine artery have shown good accuracy in detecting normal endometrium from abnormal. Objectives: Aim of this work is to evaluate the role of color doppler study of endometrium and Doppler velocimetric measurement of uterine artery as non invasive screening procedures to detect endometrial pathology in peri and post menopausal bleeding and to correlate the sonographic results with hispathological finding in order to discriminate normal from pathological endometrium. Methodology: This study was carried out in Department of Obstetrics and Gynaecology with collaboration of Department of Pathology and Department of Radiology. 100 patients were selected and they were presented with chief complaints of peri and post menopausal bleeding and subjected to Trans-vaginal sonography, color Doppler n diagnostic curettage. The data obtained from the ultrasound and Doppler examinations is compared to the results of the Histopatholigical Diagnosis After currettage. Results: This study included 100 patients with abnormal uterine bleeding, 70 perimenopausal and 30 post menopausal. These patients were initially screened with vaginal ultrasound for endometrial thickness and Doppler indices were obtained from the uterine artery (especially the resistance index RI and the pulsatility index). These results were compared to the histopathological findings. As regards the results of Doppler velocimetric study of the uterine artery in the present study: (i) The resistance index (RI) of the uterine artery, was significantly higher in patients with atrophic endometrium and also in patients with benign endometrial lesions (0.85±0.036) compared to those with abnormal pathological endometrium (mean RI 0.73±0.078)
doi:10.21474/ijar01/2613 fatcat:gf3qtt3bbrbazju2cqqi6y6pxe