摘要
目的 通过对本院子宫内膜良恶性病变患者进行回顾性分析,探讨经阴道三维超声和宫腔镜在绝经后子宫内膜良恶性病变中的诊断价值。方法 回顾性分析本院2010年10月-2014年6月疑似子宫内膜病变患者120例。以病理检查为确诊标准,分别采用经阴道三维超声和宫腔镜进行检查,比较两种检查方法的诊断结果。结果 和宫腔镜对比,经阴道三维超声的诊断符合率、阴性检出率、特异性检出率明显低于宫腔镜,两种检查方法在这三个方面的数据比较差异具有统计学意义（P〈0.05）;然而,经阴道三维超声和宫腔镜在阳性检出率、敏感性比率两方面的数据比较差异不具有显著性（P〉0.05）。结论 经阴道超声检查是一种筛查子宫内膜病变较好的方法;阴道超声联合宫腔镜检查对诊断绝经后子宫内膜病变具有重要价值。
Objective Patients with endometrial benign and malignant lesions in our hospital were retrospectively analyzed, to discuss the diagnostic value transvaginal three-dimensional ultrasonography and hysteroscopy in postmenopausal normal endometrium and endometrial benign and malignant lesions. Methods 120 suspected patients with endometrial lesions as the research object in October 2010 - June 2014 were retrospectively analyzed, using transvaginal three- dimensional ultrasonography and hysteroscopy check respectively to compare two methods of examination of diagnosis. Resuits The coincidence rate, negative detection rate and specificity of transvaginal three-dimensional ultrasound diagnosis was much lower than that of hysteroscopy, the differences of data were statistically significant （ P 〈 0.05 ）. However, the positive detection rate and sensitivity ratio data does not have significant difference （P〉0.05）. Conclusion Transvaginal ultrasound is a method of screening for endometrial lesions better;Vaginal ultrasound combined hysteroscopy examination plays an important role in diagnosis of endometrial lesions after menopause.
出处
《中南医学科学杂志》
CAS
2016年第3期251-254,共4页
Medical Science Journal of Central South China
关键词
经阴道三维超声
宫腔镜
子宫内膜
病变
transvaginal three-dimensional ultrasound
hysteroscopy
endometrial
lesions
