| 曹迎九1 吕蓓1 王倩1 黄劲松1 王玉东2.宫腔镜与阴道超声用于诊断子宫内膜病变的临床价值探讨[J].,2014,14(36):7126-7129 |
| 宫腔镜与阴道超声用于诊断子宫内膜病变的临床价值探讨 |
| Comparative Study of Vaginal Ultrasonography and Hysteroscopy inDiagnosis of Endometrial Lesions |
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| DOI： |
| 中文关键词: 阴道超声 宫腔镜 子宫内膜病变 病理活检 诊断价值 |
| 英文关键词: Ultrasound Hysteroscopy Endometrial lesions Pathological biopsy Diagnostic value |
| 基金项目:国家自然科学基金项目(81172477) |
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| 中文摘要: |
| 目的：探究阴道超声与宫腔镜对诊断子宫内膜病变的临床应用价值。方法：选取我院妇产科收治的子宫内膜病变患者153
例，进行阴道超声及宫腔镜检测，观测患者病变类型以及病变部位，比较术后患者临床资料与术前阴道超声以及宫腔镜的检测结
果，对阴道超声及宫腔镜的准确率、敏感性、阳性预测率以及阴性预测率等进行比较。结果：阴道超声检测内膜增生漏诊3例、内
膜息肉误诊3 例、粘膜下肌瘤误诊2 例、内膜炎漏诊2 例、内膜癌漏诊1 例；宫腔镜检测内膜息肉误诊1 例、黏膜下肌层误诊2
例、内膜炎漏诊1例；与病理活检结果的符合率比较，宫腔镜的总符合率显著高于阴道超声，差异有统计学意义（P＜0.05）。宫腔镜
检测子宫内膜病变的准确率、敏感性、阳性预测率及阴性预测率显著优于阴道超声，差异有统计学意义（P＜0.05）。结论：阴道超声
和宫腔镜均可检测子宫内膜病变，前者操作简单、创伤小，后者操作复杂，但检出率、准确率及敏感度均较高，可减少临床误诊、漏
诊的发生率。 |
| 英文摘要: |
| Objective:To explore the clinical application value of transvaginal ultrasound and hysteroscopy in the diagnosis of
endometrial lesions.Methods:153 patients with endometrial lesions were treated from obstetrics and gynecology in our hospital. Vaginal
ultrasound, hysteroscopy and pathological biopsy was used to detect the type and site of endometrial lesions. The accuracy, sensitivity,
positive predictive value and negative predictive value of transvaginal sonography and hysteroscopy were compared.Results:①
Compared with pathological biopsy results, transvaginal ultrasound detection showed 3 cases of missed intimal hyperplasia, 3 cases of
misdiagnosis of endometrial polyps, 2 cases of submucosal fibroids misdiagnosed, 2 cases of the meningitis missed, and 1 case of
endometrial cancer misdiagnosis; ② compared with biopsy results, hysteroscopy showed one case of misdiagnosis polyps, 2 cases of
submucous myoma misdiagnosed, and one case of the meningitis missed; ③ the overall compliance rate by hysteroscopy matched with
pathological biopsy results was significantly higher than that of hysteroscopy, and the difference was statistically significant (P<0.05). ④
in comparison with the detection accuracy, sensitivity, positive predictive value and negative predictive value for endometrial lesion,
hysteroscopy was superior to vaginal ultrasound, and the difference was statistically significant (P<0.05).Conclusion:Both of vaginal
ultrasonography and hysteroscopy can detect endometrial lesions. Vaginal ultrasound is simple with no medical trauma; and hysteroscopy
is complex, but it has high accuracy, high sensitivity which can reduce the misdiagnosis and missed diagnosis of endometrial lesions. |
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