摘要
目的探讨宫腔镜(HS)和B超检查对子宫内膜息肉(EP)的诊断价值。方法选取122例临床疑为子宫内膜息肉的患者,先经B超检查,再经宫腔镜检查,最后所有患者均取样进行组织病理学诊断。根据Kappa统计量来分别判定B超和宫腔镜检查与组织病理学诊断的一致性,并比较两者与病理诊断的符合率。结果 B超检查与宫腔镜、组织病理学诊断子宫内膜息肉的一致性差,而宫腔镜检查与组织病理学诊断子宫内膜息肉的一致性好;两种方法诊断符合率差异具有统计学意义(P<0.01)。结论与B超检查比较,宫腔镜检查更准确、直观、安全,可作为子宫内膜息肉首选的检查方法。
Objective To discuss the diagnostic value of B ultrasound and hysteroscopy in patients with endometrial polyp of ute- rus. Methods A total of 122 patients suspected of endometrial diseases underwent B ultrasound examination and hysteroscopy, as well as pathological examination. Kappa analysis was used to analyze the consistency of B ultrasound, hysteroscopy and pathological examination, and to analyze the accuracy of hysteroscopy and B ultrasound examination. Results B ultrasound examination was of bad consistency with hysteroscopy and pathological examination in the diagnosis of endometrial polyp. There was good consistency between hysteroscopy and pathological examination. There was significant difference in the consistency between B ultrasound exami- nation and hysteroscopy （ P 〈 0.01 ）. Conclusion Superior to B ultrasound examination, Hysteroscopy can be used in the diagnosis of endometrial polyp.
出处
《临床军医杂志》
CAS
2014年第2期183-184,188,共3页
Clinical Journal of Medical Officers
关键词
宫腔镜
B超
子宫内膜息肉
hysteroscopy
B ultrasound
endometrial polyp
