摘要
目的 探讨阴道超声和宫腔镜在子宫内膜病变患者中的诊断价值.方法 选取2015年1月至2015年11月经阴道超声和宫腔镜诊断的疑似子宫内膜病变患者120例,以病理结果为标准,评价两种方法诊断子宫内膜病变的敏感度、特异度、阴性预测值及阳性预测值.结果 经阴道超声检查诊断患者宫腔内病变的敏感性、特异性、阴性预测值及阳性预测值（92.36%、68.59%、83.46%、90.34%）低于宫腔镜检查（99.28%、90.23%、93.56%、98.85%）,差异有统计学意义（P〈0.05）.经阴道超声检查子宫恶性肿瘤以及癌前病变敏感性、特异性、阴性预测值及阳性预测值（100.00%、88.56%、65.84%、100.00%）高于宫腔镜检查（92.64%、64.8%、42.26%、92.68%）,差异有统计学意义（P〈0.05）.对120例患者采用经阴道超声检查发现有59例患者为良性病变子宫内膜,癌前病变和子宫恶性肿瘤19例;采用宫腔镜对120例患者进行检查,发现有58例患者为良性病变子宫内膜,癌前病变和子宫恶性肿瘤20例,两种检测方法结果比较差异未见统计学意义（P〉0.05）.结论 经阴道超声可以作为诊断子宫内膜病变的较好方法,宫腔镜检查也是一种可靠的检测方法,将两者联合应用是目前诊断子宫内膜病变患者的最佳方法.
Objective To evaluate the diagnostic value of transvaginal sonography and hysteroscopy in endometrial patients.Methods A total of 120 patients suspected with endometrial lesions detected by transvaginal ultrasound and hysteroscopy were selected from January 2015 to November 2015.According to the pathological findings, the sensitivity, specificity, negative predictive value and positive predictive value were evaluated.Results The sensitivity, specificity, negative predictive value and positive predictive value of transvaginal sonography （92.36%, 68.59%, 83.46%, 90.34%） for uterine lesions were lower than those of hysteroscopy （99.28%, 90.23%, 93.56%, 98.85%）, the differences were significant （P〈0.05）.The sensitivity, specificity, negative predictive value and positive predictive value of transvaginal sonography （100.00%, 88.56%, 65.84%, 100.00%） for uterine malignant tumor and precancerous lesion were higher than those of hysteroscopy（92.64%, 64.8%, 42.26%, 92.68%）, the differences were significant （P〈0.05）.Transvaginal ultrasound showed that 59 patients with benign endometrium, 19 patients with precancerous lesions or uterine cancer;hysteroscopy showed that 58 patients with benign endometrium, 20 patients with precancerous lesions or of uterine malignancies, the differences were not significant （P〉0.05）.Conclusions Transvaginal ultrasound can be used as the preferred method of diagnosis of endometrial lesions, and hysteroscopy is a reliable detection method, their combination is the best method for diagnosis of endometrial lesions.
出处
《中国实用医刊》
2017年第9期87-89,共3页
Chinese Journal of Practical Medicine
关键词
子宫内膜病变
经阴道超声
宫腔镜
Endometrial lesions
Transvaginal ultrasound
Hysteroscopy
