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RISS 인기검색어
- 검색키워드
- 저자 : Hend Salah Abdo Saleh (검색결과 1 건)
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Alaa Mohamed Attia,Mohammed El-Husseiny Radwan,Yousef Abo Elwan,Hend Salah Abdo Saleh 대한산부인과학회 2021 Obstetrics & Gynecology Science Vol.64 No.3
ObjectivesTo assess the predictive value of the initial uterine artery Doppler indices, the pulsatility index (PI), and resistanceindex (RI) in the prediction of heavy menstrual bleeding before and after copper intrauterine contraceptive device(IUCD) insertion. MethodsThe current prospective clinical study included 100 women who intended to use a copper IUCD (Cu T-380A) and metthe inclusion criteria. Uterine artery Doppler PI and RI indices were calculated before IUCD insertion and at three andsix months after insertion. Based on the presence or absence of menorrhagia, all women were classified into twogroups: non-bleeding (n=52) and extreme menstrual bleeding (n=48). Receiver operating curve analysis was used todetermine the predictive value of uterine artery PI and RI in patients with menorrhagia relevant to IUCD. ResultsThe PI and RI indices displayed a highly significant difference between the IUCD groups at three and six months afterinsertion (P<0.001). Uterine artery PI ≤2.02 (sensitivity of 95.8%, specificity of 100%, and area below the curve [AUC]of 0.97 at P-value<0.001) and RI ≤0.83 (sensitivity of 93.8%, specificity of 100%, and AUC of 0.949 at P-value<0.001)were correlated with significant menstrual bleeding following insertion of IUCD. ConclusionThe presented results confirmed our assumption that the initial studies of uterine artery Doppler can predict heavymenstrualbleeding associated with IUCD and therefore, should be conducted in women pursuing reversible longactingcontraception.
KCI
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