摘要
目的:以宫腔镜检查结果为标准,评价经阴道超声(transvaginal sonography,TVS)对不孕症及复发性流产患者宫腔病变诊断的准确性。方法:61例不孕及复发性流产患者均行TVS及宫腔镜检查,并行内膜活检,计算TVS诊断的敏感性、特异性、阳性预测值及阴性预测值。结果:宫腔镜发现本组61例病人中有宫腔病变者48例(78.69％),而TVS提示37例(60.7％),与宫腔镜相比,TVS诊断的敏感性为72.92％,特异性84.62％,阳性预测值70％,阴性预测值42.31％,而对子宫发育异常的诊断敏感性及特异性均为100％。结论:TVS是一种简单、快速、无创、易于接受的检查方法,但对宫腔病变的检出率却明显低于宫腔镜。宫腔镜既可明确诊断,又能进行治疗。
Objective To assess the diagnostic value of transvaginal sonography (TVS) in detecting uterine cavity abnormalities in patients with sterility and recurrent abortion, with reference to hysteroscopy as the gold standard method. Method:Sixty-one patients with sterility and recurrent abortion were investigated with both TVS and hysteroscopy. Endometrial biopsy was performed in all cases. Sensitivity, specificity, and positive and negative predictive values were calculated for TVS. Results: Hysteroscopy diagnosed pathological findings in 48 out of 61 cases (78.69%) ,TVS was in agreement with 37 of the pathological findings diagnosed by hysteroscopy. TVS in comparison with hysteroscopy had 72.92% sensitivity and 84.62% specificity, 70% positive predictive value and 42.31% negative predictive value. Conclusion: TVS is a simple, fast, uninvasive and well tolerated method to evaluate the uterine cavity in patients, but it is not as effective as hysteroscopy in diagnosis. Hysteroscopy has both diagnostic and therapeutic capabilities.
出处
《生殖与避孕》
CAS
CSCD
北大核心
2003年第5期313-315,共3页
Reproduction and Contraception
关键词
经阴道超声
宫腔镜
不孕症
复发性流产
transvaginal sonography
hysteroscopy
sterility
recurrent abortion
