摘要
目的探讨宫腔镜对绝经后子宫出血(PMB)诊断效果。方法对我院2004年1月至2006年12月门诊收治绝经后子宫出血患者,妇科检查局部阴道及宫颈未发现明显异常,考虑出血来自宫腔的共125例,宫腔镜检查后常规刮宫,未能刮出组织者在直视下取活检。所有刮出物或活检组织均送病理检查。结果宫腔镜诊断宫腔异常病变的敏感性为97.8%(90/92),特异性为81.8%(27/33),阳性预测值为93.8%(90/96),阴性预测值为93.1%(27/29)。其中子宫黏膜下肌瘤100%,子宫内膜息肉90.0%,子宫内膜炎87.0%,子宫内膜癌73.3%,子宫内膜增生70.6%。结论对于绝经后阴道出血患者,行宫腔镜检查,全面观察宫腔情况,全面诊刮,必要时在直视下取活检,可以大大提高宫腔病变确诊率。
Objective To investigate the value of hysteroscopy in the diagnosis of postmenopausal bleeding （PMB）. Methods 125 patients with PMB were examined with panoramic hysteroscopy and curettage of the uterine cavity or endometrial biopsy. Results The sensitivity, specificity,positive predictive value and negative predictive value of hysteroscopy to detecting uterine cavity diseases were 97.8% （90/92） , 81.8% （ 27/33）, 93.8% （90/96） and 93.1% （27/29）, respectively. The sensitivity of hysteroscopy to detecting submucous myoma, endometrial polyp, endometritis, endometrial carcinoma and endometrial hyperplasia were 100% , 90.0% , 87.0% ,73.33% and 70.6% , respectively. Conclusion Hysteroscopy in conjunction with curettage or endometrial biopsy can greatly increase the accurate diagnostic rate of uterine cavity diseases.
出处
《临床和实验医学杂志》
2007年第6期63-64,共2页
Journal of Clinical and Experimental Medicine
