<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-7459</journal-id>
<journal-title><![CDATA[Horizonte sanitario]]></journal-title>
<abbrev-journal-title><![CDATA[Horiz. sanitario]]></abbrev-journal-title>
<issn>2007-7459</issn>
<publisher>
<publisher-name><![CDATA[Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-74592019000100075</article-id>
<article-id pub-id-type="doi">10.19136/hs.a18n1.2259</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Concordancia entre histeroscopía e histopatología en pacientes con sangrado uterino anormal]]></article-title>
<article-title xml:lang="en"><![CDATA[Concordance between hysteroscopy and histopathology in patients with abnormal uterine bleeding]]></article-title>
<article-title xml:lang="pt"><![CDATA[Concordância entre histeroscopia e histopatología em pacientes com sangramento uterino anormal]]></article-title>
<article-title xml:lang="fr"><![CDATA[Concordance entre l&#8217;hystéroscopie et l&#8217;histopathologie chez les patients présentant un saignement utérin anormal]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Enríquez]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez López]]></surname>
<given-names><![CDATA[José del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Hernández]]></surname>
<given-names><![CDATA[Clara Magdalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer de Tabasco  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer de Tabasco  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaria de Salud  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>18</volume>
<numero>1</numero>
<fpage>75</fpage>
<lpage>81</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-74592019000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-74592019000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-74592019000100075&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Determinar la concordancia entre la histeroscopia e histopatología en pacientes con sangrado uterino anormal (SUA).  Material y métodos:  Estudio observacional, descriptivo y transversal de 36 pacientes con diagnóstico de SUA con realización de histeroscopia y biopsia endometrial en la clínica de mínima invasión.  Resultados:  La edad media fue de 39.1 años con un IMC medio de 33.3 kg/m2, la menarca media fue de 12.1 años, reportando pacientes núbiles pero en su mayoría mujeres multíparas con una media de 2.67 gestas. El patrón menstrual se reportó como frecuente 63.9% (n=23), regular 75% (n=27), prolongado 61.1% (n=22) y aumentado en volumen 80.6% (n=29). Se obtuvo un valor de 0.709 con una p= 0.000, representando una fuerza de concordancia buena. Con alto porcentaje para identificar hiperplasia endometrial de bajo riesgo con 90% (n=9/10) y para descartar patología estructural al identificar tejido endometrial normal con 88.2% (n=15/17).  Conclusiones:  Se observó de acuerdo con el coeficiente de kappa una fuerza de concordancia buena entre la histeroscopia e hiperplasia endometrial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo:  Determinar a concordancia entre histeroscopia e histopatologia em pacientes com sangramento uterino anormal.  Materiais e métodos:  Estudo observacional, descritivo e transversal de 36 pacientes diagnosticados com SUA com histeroscopia e biópsia endometrial na clínica minimamente invasiva.  Resultados:  A média de idade foi de 39,1 anos com IMC médio de 33,3 kg / m2, a menarca média foi de 12,1 anos, relatando pacientes nubileis, mas principalmente mulheres multíparas com média de 2,67 gestações. O padrâo menstrual foi relatado como freqüente 63,9% (n = 23), 75% regulares (n = 27), prolongado 61,1% (n = 22) e aumentou em volume 80,6% (n = 29). Um valor de 0,709 foi obtido com uma p = 0,000, representando uma boa força de concordância. Com alta porcentagem para identificar hiperplasia endometrial de baixo risco com 90% (n = 9/10) e para descartar patologia estrutural ao identificar tecido endometrial normal com 88,2% (n = 15/17).  Conclusões:  Uma boa força de concordância entre histeroscopia e hiperplasia endometrial foi observada de acordo com o coeficiente kappa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="fr"><p><![CDATA[Résumé  Objectif:  Déterminer la concordance entre l&#8217;hystéroscopie et l&#8217;histopathologie chez les patients présentant un saignement utérin anormal.  Matériel et méthodes:  Une étude observationnelle, descriptive et transversale de 36 patients diagnostiqués avec SUA avec hystéroscopie et biopsie de l&#8217;endométre dans la clinique mini-invasive.  Résultats:  L&#8217;age moyen était de 39,1 ans avec un IMC moyen de 33,3 kg / m2, la ménarche moyenne était de 12,1 ans, rapportant des patients nubiles mais surtout des femmes multipares avec une moyenne de 2,67 grossesses. Le profil menstruel a été signalé comme fréquent 63,9% (n = 23), régulier 75% (n = 27), prolongé 61,1% (n = 22) et a augmenté en volume 80,6% (n = 29). Une valeur de 0,709 a été obtenue avec p = 0,000, ce qui représente une bonne force de concordance. Avec un pourcentage élevé pour identifier l&#8217;hyperplasie de l&#8217;endométre á faible risque avec 90% (n = 9/10) et pour exclure la pathologie structurelle lors de l&#8217;identification du tissu endométrial normal avec 88,2% (n = 15/17).  Conclusions:  Une bonne force de concordance entre l&#8217;hystéroscopie et l&#8217;hyperplasie endométriale a été observée selon le coefficient kappa.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sangrado uterino anormal]]></kwd>
<kwd lng="es"><![CDATA[histeroscopia]]></kwd>
<kwd lng="es"><![CDATA[hiperplasia endometrial]]></kwd>
<kwd lng="en"><![CDATA[Abnormal uterine bleeding]]></kwd>
<kwd lng="en"><![CDATA[Hysteroscopy]]></kwd>
<kwd lng="en"><![CDATA[Endometrial hyperplasia]]></kwd>
<kwd lng="pt"><![CDATA[Sangramento uterino anormal]]></kwd>
<kwd lng="pt"><![CDATA[Histeroscopia]]></kwd>
<kwd lng="pt"><![CDATA[Hiperplasia endometrial]]></kwd>
<kwd lng="fr"><![CDATA[Saignement utérin anormal]]></kwd>
<kwd lng="fr"><![CDATA[Hystéroscopie]]></kwd>
<kwd lng="fr"><![CDATA[Hyperplasie endométriale]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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