BACKGROUND: To analyze the incidence of alterations in a comparative study between hysteroscopy and ultrasonography results with abnormal endometrium. METHODS: This is a retrospectively reviewed study with 1561 endoscopy reports in the period from 1999 through 2005. It was conducted in the Saint Marries of the Mercy's House of Rio de Janeiro. The accuracy of the hysteroscopy images was evaluated in comparison to the ultrasonography images in patients with abnormal endometrium and was divided between benign and complex images. The fertility period and menopause were also analyzed and considered. RESULTS: The Qui-square study revealed a significant statistical meaning for comparison of the variables: ultrasound with abnormal endometrium versus hysteroscopy for the whole studied period. CONCLUSION: A large incidence of benign hypertrophies was found: polyps 58,7%; - simple hypertrophies - 13,3%; - endometrium with inflammation -3,5%; fibromas -6,0%: other-11,9%: cavity without alterations 0,9%: A low incidence of complex hypertrophies was encountered during the fertility period in comparison with 5.3 times more complex hypertrophies found during the menopause.
Endometrium; Ultrasonography; Hysteroscopy; Endometrial neoplasms
