摘要
目的:研究阴道超声与宫腔镜诊断对围绝经期女性异常子宫出血(Abnormal uterine bleeding,AUB)病因的对比。方法:从2012年3月到2013年3月,我院共有123例围绝经期AUB患者需行手术治疗。全部患者均于术前实施阴道超声检查及宫腔镜检查,分别归入阴道超声组及宫腔镜组,并于术后常规实施病理确诊,并将所得结果作为金标准分别对比。结果:根据术后的病理检查,最终确定患者子宫内膜为正常者4例,内膜增生44例,内膜息肉29例,黏膜下肌瘤26例,内膜癌20例。宫腔镜组在内膜增生及内膜息肉方面的诊断结果与病理检查结果最为接近,诊断结果显著优于阴道超声组,差异均有统计学意义(均P<0.05)。但两组在正常内膜、黏膜下肌瘤以及内膜癌等方面的诊断结果对比,差异均无统计学意义(均P>0.05)。宫腔镜组与病理检查的符合率在黏膜下肌瘤及内膜癌方面较阴道超声组与病理检查结果的符合率更高,但差异无统计学意义(P>0.05)。尤其是关于内膜增生和内膜息肉的符合率,宫腔镜组显著高于阴道超声组,差异有统计学意义(均P<0.05)。结论:宫腔镜诊断方案对于围绝经期女性AUB患者的诊断结果更接近于病理结果,但临床在一定条件可与阴道超声联用,以期进一步提升诊断符合率。值得临床推荐。
Objective： To conduct comparative study of transvaginal sonography and hysteroscopy in the diagnosis of abnormal uter- ine bleeding in perimenopausal women etiology. Methods： From March 2012 to March 2013, there were 123 cases in our hospital of AUB perimenopausal patients were required surgical treatment. All patients were implemented in the preoperative transvaginal ultrasound and hysteroscopy, were classified ultrasound group and hysteroscopy group, and implemented routine postoperative pathological diagnosis, and the results were used as the gold standard for comparison. Results： According to the postoperative pathological examination,the patient ultimately determine the normal endometrium 4 cases, endometrial hyperplasia 44 cases, endometrial polyps 29 cases, submucosal fibroids 26 cases, 20 cases of endometrial cancer. Hysteroscopy group diagnosis and pathological findings in terms of endometrial hyperplasia and endometrial polyps was closest, diagnostic results significantly better than vaginal ultrasound group, the differences were statistically significant（P〈0.05）. But the two groups in the normal endometrium, submucosal fibroids and endometrial cancer＇s diagnostic results and other aspects of comparison, the difference was not statistically significant（P〉0.05）. Hysteroscopy group and pathological examination of the compliance rate in terms of submucosal fibroids and endometrial cancer with transvaginal ultrasound group compared with pathological findings consistent with a higher rate, but the difference was not statistically significant（P〉0.05）. In particular, in line with the rate on intimal hyperplasia and endometrial polyps, hysteroscopy group was significantly higher than vaginal ultrasound group,the difference was statistically significant（P〈0.05）. Conclusion： The results of diagnostic hysteroscopy diagnostic program for perimenopausal women AUB patients was closer to pathology results, but in certain clinical conditions associated with the use of transvaginal ultrasound can further improve the diagnosis rate. It is worthy of recommendation.
出处
《现代生物医学进展》
CAS
2014年第22期4349-4351,4355,共4页
Progress in Modern Biomedicine
关键词
阴道超声
宫腔镜
诊断
围绝经期
异常子宫出血
Transvaginal ultrasound
Hysteroscopy
Diagnosis
Perimenopausal
Abnormal uterine bleeding
