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Horizonte sanitario
versión On-line ISSN 2007-7459versión impresa ISSN 1665-3262
Resumen
SUAREZ ENRIQUEZ, José; PEREZ LOPEZ, José del Carmen y MARTINEZ HERNANDEZ, Clara Magdalena. Concordance between hysteroscopy and histopathology in patients with abnormal uterine bleeding. Horiz. sanitario [online]. 2019, vol.18, n.1, pp.75-81. ISSN 2007-7459. https://doi.org/10.19136/hs.a18n1.2259.
Object:
To determine the concordance between hysteroscopy and histopathology in patients with abnormal uterine bleeding.
Materials and methods:
An observational, descriptive and cross-sectional study of 36 patients diagnosed with SUA with hysteroscopy and endometrial biopsy in the minimally invasive clinic.
Results:
The average age was 39.1 years with an average BMI of 33.3 kg / m2, the average menarca was 12.1 years, reporting nubile patients but mostly multiparous women with an average of 2.67 pregnancies. The menstrual pattern was reported as frequent 63.9% (n= 23), regular 75% (n= 27), prolonged 61.1% (n= 22) and increased in volume 80.6% (n= 29). A value of 0.709 was obtained with a p= 0.000, representing a good concordance force. With high percentage to identify low risk endometrial hyperplasia with 90% (n= 9/10) and to rule out structural pathology to normal endometrial tissue muscle with 88.2% (n= 15/17).
Conclusions:
An agreement has been established with the kappa coefficient of agreement between hysteroscopy and endometrial hyperplasia.
Palabras llave : Abnormal uterine bleeding; Hysteroscopy; Endometrial hyperplasia.