[ value of ambulatory hysteroscopy diagnostic. About 292 cases]

This is a retrospective study including 292 ambulatory diagnostic hyst‚roscopies realised during a period of 1 year and a half. The mid age of our patients is 44 years. The main indications are haemorrhage, infertility and abnormal ultrasound findings. The exams are carried out under analgesia. Its sensibility is good concerning the endom‚trial pathology. As a matter of fact, it equals 100% for ad‚nocarcinomas, it varies from 56.5 to 77.3% for hyperplasia, 100% for endom‚trial polyps and from 88 to 90% for endom‚trial atrophy. In contrast, it is worse for the myometrial pathology such as ad‚nomyose and sub mucosal myomas. Besides its sensibility, the tolerance of this exam allows its ambulatory realisation permitting a considerable economy