RESUMEN
Twenty seven patients having Ectopic Pregnancies were studied prospectively with transvaginal sonography. Ten of them were treated surgically, thirteen with injection of methotrexate and four with expectant management. Ultrasound images were well correlated with clinics, surgical findings and pathology. We believe that the ultrasound image known as "tubal ring" is highly suggesting of early ectopic pregnancy. Since early detection is associated with conservative surgery, expectant management or treatment with methotrexate, and consequently to a better reproductive future, we consider that transvaginal sonography is a reliable method that must be added to traditional ones, in the ectopic pregnancy management.
Asunto(s)
Embarazo Ectópico/diagnóstico por imagen , Ultrasonografía Prenatal , Adulto , Gonadotropina Coriónica/sangre , Gonadotropina Coriónica Humana de Subunidad beta , Femenino , Estudios de Seguimiento , Humanos , Fragmentos de Péptidos/sangre , Embarazo , Embarazo Ectópico/sangre , Embarazo Ectópico/terapia , Estudios ProspectivosRESUMEN
One hundred women who had surgical intervention indicated for pelvic masses, were studied prospectively, all of them were investigated and treated in the obstetrical and gynecology Department of the Hospital del Salvador between January 1988 to January 1989. Pelvic tumors were classified following the scheme at the University of Tokyo's Obstetrician and Gynecology Department, which was designated to correlate the echographic image with the tumors histology and especially to distinguish preoperatively the benign or malign nature of the mass. The early diagnosis of ovarian cancer in the general population was not the objective. The classification divides the tumors in 6 groups with two o three subgroups for each one of them the probability of the tumors being benign was high for those in the group one to four (the predictive value of non malignancy was 98.4%) and the possibility of malignancy was high especially in the group 6 (the predictive value for malignancy was 63.6%).
Asunto(s)
Neoplasias Ováricas/diagnóstico , Adolescente , Adulto , Anciano , Femenino , Humanos , Persona de Mediana Edad , Neoplasias Ováricas/diagnóstico por imagen , Neoplasias Ováricas/patología , Valor Predictivo de las Pruebas , Estudios Prospectivos , UltrasonografíaRESUMEN
Twelve women of gynecologic dispensary of Hospital del Salvador are studied, making measurements of several ultrasound parameters of urinary bladder (diameters and perimeters), with known volumes instilled through catheterization. The results are mathematically and statistically studied with computer getting a formula of easy management to obtain the vesical volume. This formula is advantageously compared with others of literature. Advantages of ultrasound measurement of vesical volume are stressed in patients with uro-gynecologic pathology.