In this study accuracy of 3D/SIS in diagnosis of intrauterine lesions or uterine abnormalities was high and can be sufficient and not need for further hysteroscopy particularly for its low incidence of complications and had low of patient compliance as regarding to pain experience during procedure and these results agreed with what reported by Grimbizis et al. Gunes and associates had studied the accuracy of SIS in 83 women had abnormal uterine bleeding with suspicion of endometrial cavity abnormalities, they had concluded that the reliability and the accuracy of SIS for detection of uterine cavity abnormalities and lesions was high and it could be a good reliable method alternative to hysteroscopy in detection of uterine cavity abnormalities. The diagnostic accuracy was high in submucous fibroid and bicornuate uterus (100% and 98.8% respectively), these results agreed with many previous studies reports as El-Sattar MA et al. The negative predictive value was high in submucous fibroid and bicornuate (100% for both) and 98.8% for septate uterus. Positive predictive value was high in submucous fibroid and endometrial polyps (100% and 98.7% respectively). Sensitivity, specificity, positive and negative predictive values of 3D/SIS in assessment of uterine cavity lesions and anomaliesĪs regarding to pain score according to visual analog scale (VAS), there was a high statistically significant difference between 3D/SIS and OH with p-value 98% for other abnormalities. Sensitivity, specificity, positive, negative predictive values and diagnostic accuracy of 3D/SIS in assessment of uterine cavity lesions and anomalies were (64.4%, 94.3%, 73.4%, 91.7%, 88.6% respectively) (Table 3). Incidence of uterine cavity abnormalities with 3D/SIS and OH As regarding to pain score according to visual analog scale (VAS), there was a high statistically significant difference between OH and 3D/SIS with p-value 40 years (2) body mass index 30 Sensitivity, specificity, positive, negative predictive values and diagnostic accuracy of 3D/SIS in assessment of uterine cavity lesions and anomalies were (64.4%, 94.3%, 73.4%, 91.7%, and 88.6% respectively). Results: There was no a statistically significant difference between 3D/SIS and OH in the findings during uterine cavity evaluation with p value > 0.05. The two procedures were done by 2 different investigators and the findings were recorded separately. Uterine cavity had been evaluated using 3D/SIS by taking multiple transverse views in distended uterine cavity, few days later OH was done. Patients and methods: This study was conducted on 88 infertile women from the attendants for infertility clinic and underwent ICSI procedure. Setting: Obstetrics and Gynecology Department, faculty of medicine, south Valley University, Egypt. Study design: A prospective observational study. Objective: To assess the predictive values of 3D Saline infusion sono-hysterography (SIS) in assessment of uterine cavity abnormalities or lesions in comparison to conventional office hysteroscopy (OH) prior to ICSI procedure.
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