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pubmed:abstractText |
The insertion of two different types of intrauterine devices (Multiload 250 and Silver T) has been monitored in 97 patients through systematic exploration by echography and hysteroscopy. Both techniques seem to be highly reliable in spite of the observation of 9% misplacements of the IUDs not detected by echography. In addition, hysteroscopy enables the diagnosis of frequent associated pathology (endometrial hyperplasia, endometriosis, polyps) difficult to diagnose by echography. The present study demonstrates the fact that the ultrasonography confirmation of IUD localization in the uterus was not always accurate.
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pubmed:otherAbstract |
PIP: Accuracy of IUD placement after 2 months to 4.5 years was assessed by ultrasound compared with hysteroscopy in 58 women with a Silver T and in 39 women with Multiload 250 IUDs. Ultrasound was performed with high- resolution scanners (Ultramark 4, Diasonic DFR 100 and Acuson), immediately after menses. Hysteroscopy was done immediately after ultrasound through a HAMOU 3 hysteroscope (Storz), using carbonic anhydride for insufflation. With Silver T IUDs, there were 58 concordant findings: by ultrasound 47 were in place, 4 were descended and 7 were abnormal; by hysteroscopy there were 39 in place, 3 descended, 6 inverted, 2 incarcerated, and 3 lateral. With Multiload IUDs, there were 39 concordant findings: by ultrasound 28 were in place, 8 descended, 2 lying laterally; by hysteroscopy 28 were in place, 7 were descended and 4 were inverted. None of the women in this series had unintended pregnancy. Hysteroscopy was more accurate and also identified 6 cases of endometritis, 2 of polyps, and 2 of hyperplasia.
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