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经阴道超声、宫腔镜对子宫内膜病变诊断价值的对比研究 被引量:19

Comparative study on the value of diagnosis of endometrial lesions by transvaginal ultrasound and hysteroscopy
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摘要 目的:探讨经阴道超声(transvaginal sonography,TVS)、宫腔镜(hysteroscopy,HS)2种检查方法诊断子宫内膜病变的临床价值。方法:回顾性分析子宫内膜病变患者256例。患者均行TVS及HS检查,并将2种检查结果与病理结果对照分析。结果:HS及TVS诊断内膜病变的特异性、阴性预测值差异均有统计学意义(均P<0.05);HS及TVS对子宫内膜炎、未见异常者的诊断符合率差异均有统计学意义(均P<0.05),对子宫内膜其他病变的诊断符合率差异均无统计学意义(均P>0.05)。结论:TVS可作为筛选子宫内膜病变的首选方法,TVS为HS提供导向,两者结合,可成为诊断子宫内膜病变的最佳检查方法。 Objective:To investigate the diagnostic value of transvaginal sonography (TVS) and hysteroscopy (HS) for uterus endometrial lesions. Methods:256 cases were examined with TVS,HS and biopsy. The finally pathological results were compared with the results obtained from TVS and HS. Results:The specificity and negative predictive values of HS and TVS in the diagnosis of endometrial lesions had significant difference. There was statistically significant for nonspecific and endometritis; but,there was no difference for the other endometrial lesions through the two above methods. Conclusion:TVS may be used as the preferred way in diagnosis of endometrial lesions,TVS guiding for HS with pathology diagnosis for exact diagnosis,may be the best inspection method.
出处 《中国中西医结合影像学杂志》 2016年第1期34-35,38,共3页 Chinese Imaging Journal of Integrated Traditional and Western Medicine
基金 山东省科技发展计划项目(2012GSF11860)
关键词 子宫疾病 超声检查 宫腔镜检查 Uterine disease Uhrasonography Hysteroscopy
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