Context. - Postmenopausal vaginal bleeding is a common clinical problem.
Endovaginal ultrasound (EVUS) is a noninvasive diagnostic test that may help determine which women should undergo endometrial biopsy.
- To determine the accuracy of EVUS in detecting endometrial disease in postmenopausal women with vaginal bleeding according to hormone replacement use.
- Literature search of English-language and non-English-language articles published from 1966 through November 1996 using MEDLINE and by a manual search of bibliographies of published articles.
- Studies were included if they prospectively collected EVUS measurements of endometrial thickness prior to obtaining endometrial tissue for histologic evaluation in postmenopausal women with vaginal bleeding.
Of 85 studies that included data on EVUS and endometrial histology, 35 were included in the meta-analysis and included 5892 women.
- Articles were reviewed and independently selected and abstracted by 2 reviewers.
Disagreement was resolved by consensus.
- The overall summary mean weighted estimates of sensitivity and specificity were calculated for thresholds of endometrial thickness from 3 to 10) mm. (...)
Mots-clés Pascal : Endométriose, Carcinome, Postménopause, Imagerie ultrasonore, Laparoscopie, Voie vaginale, Dépistage, Article synthèse, Diagnostic différentiel, Efficacité, Femelle, Homme, Biopsie, Etats Unis, Amérique du Nord, Amérique, Appareil génital femelle pathologie, Utérus pathologie, Radiodiagnostic, Imagerie médicale, Endoscopie, Voie abord, Traitement instrumental
Mots-clés Pascal anglais : Endometriosis, Carcinoma, Postmenopause, Ultrasound imaging, Laparoscopy, Vaginal route, Medical screening, Review, Differential diagnostic, Efficiency, Female, Human, Biopsy, United States, North America, America, Female genital diseases, Uterine diseases, Radiodiagnosis, Medical imagery, Endoscopy, Surgical approach, Instrumentation therapy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0526303
Code Inist : 002B24C06. Création : 23/03/1999.