摘要
目的研究超声提示子宫内膜不均伴有临床症状的患者是否患有子宫内膜病变,探讨阴道超声联合宫腔镜检查在子宫内膜病变诊断中的作用。方法对月经异常,不规则阴道流血患者进行阴道超声检查,并对超声检查显示子宫内膜不均的患者177例进行宫腔镜检查,行定点活检和诊断性刮宫,将病理结果与超声和宫腔镜诊断进行比较。结果病理显示异常子宫内膜85例(48%),异常子宫内膜厚度与正常内膜厚度差异无统计学意义,异常与正常子宫内膜血流差异有显著意义,宫腔镜诊断内膜病变的敏感性为95.3%(81/85),特异性39.1%(36/92),阳性预测值59.1%(81/137),阴性预测值90%(36/40)。结论宫腔镜对子宫内膜不均病因诊断特异性低,子宫内膜异常血流对内膜病变诊断有重要意义。
Objective To discuss patients whether have endometrial lesions when ultrasound showing endometrium uneven.Discuss the effect of transvaginal ultrasonography and hysteroscope test on endometrial lesions diagnosis.Methods Testing abnormal menstruation,irregular vaginal bleeding patients by transvaginal ultrasonography.Testing 177 patients with endometrium uneven by hysteroscopy,and taking biopsy and diagnostic curettage.Compare pathology results and diagnosis about transvaginal ultrasonography and hysteroscope.Results Pathology results showed there were 85 cases of abnormal endometrium（48%）.Abnormal and normal endometrium has no significant difference in thickness.Abnormal and normal endometrium showed significant differences in blood flow.Hysteroscopic diagnosis of sensitivity of endometrial lesions was 95.3%（81/85）,specificity 39.1%（36/92）,positive predictive value 59.1%（81/137）,negative predictive value 90%（36/40）.Conclusion Hysteroscopic diagnosis has low specificity with endometrium uneven.Endometrial abnormal blood flow has important significance to the endometrium lesions diagnosis.
出处
《中国病案》
2011年第8期62-63,共2页
Chinese Medical Record
关键词
阴道超声
宫腔镜
子宫内膜
Transvaginal ultrasonography
Hysteroscope
Endometrium
