摘要
目的探讨宫腔镜在诊断子宫内膜增厚病变中的应用价值。方法选取2015年5月~2016年12月在我院就诊的因异常子宫出血行B超检查,提示子宫内膜增厚的患者共120例,其中60例行诊刮术的患者作为诊刮组,60例行宫腔镜检查及治疗的患者作为宫腔镜组。比较分析两组患者子宫内膜增厚的诊断请情况。结果宫腔镜组在诊断子宫内膜息肉、黏膜下子宫肌瘤及宫腔粘连中与诊刮组比较有更高的检出率,差异有统计学意义(P<0.05);对子宫内膜息肉、黏膜下子宫肌瘤、子宫内膜增生诊断的敏感度、特异度、阳性预测值、阴性预测值等指标,宫腔镜组高于诊刮组。结论宫腔镜能直视宫腔内病变,定点取材,诊断准确率高,值得用于子宫内膜增厚的诊断。
Objective To investigate the clinical application significance of hysteroscopy in patients with endometrial thickening lesions.Methods 120 patients from May 2015 to December 2016 in our hospital were selected,all the patients received transvaginal ultrasound examinations because of abnormal vaginal bleeding and the ultrasound results showed endometrial thickening.60 cases who were given the diagnostic curettage were selected as the diagnostic curettage group,60 cases received hysteroscopy in in-patient department were selected as the hysteroscopy group.The differences of diagnostic results of the two groups were compared and analyzed.Results The detection rate of endometrial polyp, submucosal myoma of uterus and uterine adhesions in hysteroscopy group was higher than that in the diagnostic curettage group respectively,the difference was statistically significant （P〈0.05）;the sensitivity,specificity,positive predictive value and negative predictive value of the endometrial polyp,submucosal myoma of uterus and endometrial hyperplasia in the hysteroscopy group was statistically higher than that in the diagnostic curettage group.Conclusion Hysteroscopy has the advantage of direct sight of intrauterine lesions,drawing target materials and higher diagnosis accuracy,it is worth for the diagnosis of endometrial thickness.
出处
《中国当代医药》
2017年第19期115-118,共4页
China Modern Medicine
关键词
南宁市
环城游憩带
空间分布
优化
Endometrial thickening
Hysteroscopy
Diagnostic curettage
