摘要
目的探讨经阴道超声联合宫腔镜对绝经后子宫出血病因诊断的临床价值。方法选取34例绝经后子宫出血患者为研究对象,并应用阴道超声联合宫腔镜对患者进行检测,以病理诊断作对照探讨两种检测方法联合应用诊断的诊断效果。结果①经阴道超声联合宫腔镜检查对子宫内膜息肉诊断准确性为75%(3/4),子宫黏膜下肌瘤诊断准确性为100%(4/4);内膜增生诊断准确性为80%(4/5);子宫内膜癌诊断准确性为80%(4/5),共诊断准确29例,误诊5例。②经阴道超声联合宫腔镜检查患者绝经后子宫出血病因灵敏度、特异度、假阴性率、假阳性率、阳性预测值、阴性预测值分别为83.3%、87.5%、16.7%、12.5%、88.2%、82.4%。③在癌及癌前病变患者子宫内膜厚度及子宫大小均明显高于内膜良性病变及正常患者,差异有统计学意义(P<0.05);内膜良性病变子宫内膜厚度明显高于正常患者,差异有统计学意义(P<0.05)。结论经阴道超声联合宫腔镜在绝经后子宫出血中的诊断价值高,子宫内膜厚度与子宫大小、患者子宫病变程度有关。
Objective To explore the clinical value of transvaginal sonography combined with hysteroscope in diagnosis the pathogenesis of postmenopausal uterine bleeding. Methods 34 postmenopausal uterine bleeding patients were selected as study objeet.Transvaginal sonography combined with hysteroscope were used to detection,and pathological diagnosis was used as control to explore the diagnosis effect of two kinds of detection combined for diagnosis. Results （~）The veracity of transvaginal sonography combined with hysteroscope in diagnosis endometrial polyp was 75% （3/4）,the veracity of submueous myoma of uterus was 100% （4/4）,the veracity of intimal hyperplasia was 80% （4/5） and the veracity of endometrial cancer was 80% （4/5）.There were 29 cases diagnosis precise,and 5 cases misdiagnosed.（2）The sensibility,specificity,false negative rate,positive predictive value and negative predictive value of transvaginal sonography combined with hysteroscope in diagnosis the pathogenesis of postmenopausal uterine bleeding were respectively 83.3%,87.5%, 16.7%,12.5%,88.2% and 82.4%.（3）Endometrial thickness and uterine size in Patients with cancer and precancerous lesions were significantly higher than endometrial benign lesion or normal people,and the difference was statistical signif- icance （P〈0.Og）.Endometrial thickness in endometrial benign lesion was significantly higher than normal people,and the difference was statistical significance （P〈0.05）. Conclusion The diagnosis value of transvaginal sonography combined with hysteroscope in postmenopausal uterine bleeding is high,and endometrial thickness and uterine size have relation- ship with the degree of uterus lesions.
出处
《中国当代医药》
2015年第27期58-60,123,共4页
China Modern Medicine
关键词
经阴道超声
宫腔镜
绝经后子宫出血
超声
Transvaginal sonography
Hysteroscope
Postmenopausal uterine bleeding
Ultrasound
