L’HYSTÉROSCOPIE DIAGNOSTIQUE

Introduction : It is an essential and necessary tool in the management of intrauterine pathologies. Indeed, it allows a better diagnosis and better distribution of therapeutics, more precisely targeted. It is a quick, minimally invasive, reproducible and reliable. Methods : Retrospective study on a series of 174 cases of diagnostic hysteroscopy performed between january 2004 and december 2006. Results : The mean age was 42,6 years; abnormal uterine bleeding is the main symptom in 110 patients (63%), followed by infertility in 30 patients (17,2%), the abortive disease (7,5%), removal of the intrauterine device (6,9%), and others (5,1%). Nine patients (5%) had a normal examination; intrauterine abnormalities found were: polyps (31,6%), endometrial hypertrophy (32%), submucous adenomyomas (13,8%), synechiae (12%), endometrial atrophy (9,7%), the intrauterine device (6,9%), uterine septum (6,3%), trophoblast retention (3,5%), intraluminal neoplasms (1,7%), and adenomyosis (1,7%). Discussion : The hysteroscopy is accurate, safe, with a low failure rate in the diagnosis of intrauterine abnormalities. It has better sensitivity and specificity compared with sonography and hysterosalpingography. It involves certain risks, but generally remains rare. Conclusion : This examination is currently the gold standard as a diagnostic technique for intracavitary uterine lesions.