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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 5/2011

Open Access 01-11-2011 | General Gynecology

The diagnostic value of evaluating the maximum velocity of blood flow in the uterine arteries of women with postmenopausal bleeding

Authors: Dariusz Samulak, Maciej Wilczak, Monika Englert-Golon, Magdalena Monika Michalska

Published in: Archives of Gynecology and Obstetrics | Issue 5/2011

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Abstract

Purpose

The aim was to evaluate the utility of ultrasonographic examinations, such as the Doppler technique, in diagnosing women with postmenopausal bleeding.

Methods

Specifically, maximum end-diastolic velocity of blood flow (MEDV), time-averaged maximum velocity of blood flow (TAMXV) and peak systolic velocity of blood flow (PSV) were evaluated. Data were obtained and analyzed from a group of 100 female patients diagnosed and treated because of abnormal bleeding from the genitals in the Gynecological-Obstetrics Clinical Hospital of Poznan University of Medical Sciences. The following packages were used for statistic analyses: STATISTICA v 7.1 (StatSoft, Inc. 2005), StatXACT v.5.0.3, CYTEL SOFTWARE CORPORATION and Analyse-it Software v.1.68.

Results

The parameters evaluated were highest in the carcinoma group, lower when proliferation was diagnosed and the lowest in the control group.

Conclusions

Transvaginal ultrasonography diagnostics using the Doppler technique was found to play an important role in the diagnostic process of pathologies within the endometrium.
Literature
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Epstein E, Skoog L, Isberg PE et al (2002) An algorithm including results of gray-scale and power Doppler ultrasound examination to predict endometrial malignancy in women with postmenopausal bleeding. Ultrasound Obstet Gynecol 4(20):370–376CrossRef
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Lynch PM (1999) Clinical challenges in management of familial adenomatous polyposis and hereditary non polyposis colorectal cancer. Cancer 86(11):25–33
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Stachowicz N, Czekierdowski A, Daniłoś J, Kotarski J (2002) Use of three-dimensional ultrasonography in the evaluation of the volume of the endometrium in women experiencing bleeding from the uterine cavity. Ginekol Pol 11(73):970–975
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Warming L, Ran P, Skouby S, Christiansen C (2002) Measurement precision and normal range of endometrial thickness in a postmenopausal population by transvaginal ultrasounds. Ultrasound Obstet Gynecol 5(20):492–495CrossRef
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Sladkevicius P, Valentin L, Marsal K (1995) Transvaginal gray-scale and Doppler ultrasound examinations of the uterus and ovaries in healthy postmenopausal women. Ultrasound Obstet Gynecol 6(2):81–90PubMedCrossRef
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Sladkevicius P, Valentin L, Marsal K (1994) Endometrial thickness and Doppler velocimetry of the uterine arteries as discriminators of endometrial status in women with postmenopausal bleeding: a comparative study. Am J Obstet Gynecol 171(3):722–728PubMed
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Szpurek D, Moszyński R, Sajdak S, Roszak A (2000) Evaluation of blood flow in the arteries of the uterus in patients with endometrial carcinoma by means of vaginal ultrasonography using the color Doppler technique. Nowotwory 50(1):35–38
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Englert-Golon M, Szpurek D, Moszyński R, Pawlak M, Sajdak S (2005) Diagnostic value of evaluating blood flow by means of the “power” angio Doppler technique in uterine arteries and in endometrium vessels in women with postmenopausal bleeding. Ginek Pol 76(Suppl 2):134
Metadata
Title
The diagnostic value of evaluating the maximum velocity of blood flow in the uterine arteries of women with postmenopausal bleeding
Authors
Dariusz Samulak
Maciej Wilczak
Monika Englert-Golon
Magdalena Monika Michalska
Publication date
01-11-2011
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 5/2011
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-010-1824-3

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