摘要
目的:分析宫腔镜对异常子宫出血(abnormal uterine bleeding,AUB)的诊断价值。方法:选取2017年5月-2018年9月笔者所在医院收治的疑似AUB患者80例为研究对象,均行阴道超声与宫腔镜检查,以病理结果为金标准,分析两种方式的诊断效能。结果:病理结果证实为子宫内膜下息肉13例(16.25%),子宫内膜简单型增殖20例(25.00%),子宫内膜炎15例(18.75%),不典型增生或子宫内膜癌3例(3.75%),子宫肌瘤8例(10.00%),宫内节育环残留5例(6.25%),正常16例(20.00%)。以病理结果为准,宫腔镜诊断AUB灵敏度(93.75%)、准确度(87.50%)均高于阴道超声(81.25%、75.00%),差异均有统计学意义(P<0.05),两种诊断方式特异度(50.00%、62.50%)比较差异无统计学意义(P>0.05)。结论:宫腔镜用于AUB诊断中有较高灵敏度、准确度,有临床应用价值。
Objective:To analyze the diagnostic value of uteroscope for abnormal uterine bleeding(AUB).Method:A total of 80 AUB patients who were admitted to the hospital from May 2017 to September 2018 were enrolled in the study.All patients underwent vaginal ultrasound and uteroscope examination.Taking the pathological results golden standard,the diagnostic efficiency of the two methods was analyzed.Result:The pathological results confirmed there were 13 cases(16.25%)with endometrial polyps,20 cases(25.00%)with simple endometrial proliferation,15 cases(18.75%)with endometritis,3 case(3.75%)with atypical hyperplasiaor endometrial cancer,8 cases(10.00%)with uterine fibroids,5 cases(6.25%)with intrauterine contraceptive ring residue and 16 cases(20.00%)in normal status.Taking pathological results as the standard,the sensitivity and accuracy of hysteroscopy in the diagnosis of AUB were 93.75%and 87.50%respectively,which were significantly higher than 82.5%and 75.00%of vaginal ultrasound,the differences were statistically significant(P<0.05).There was no significant difference in specificity(50.00%vs 62.50%)between the two diagnostic methods(P>0.05).Conclusion:The sensitivity and accuracy of uteroscope are relatively higher for diagnosis of AUB,with clinical application value.
作者
王英
WANG Ying(Xiaogan Maternal and Child Health Hospital,Xiaogan 432000,China)
出处
《中外医学研究》
2019年第34期63-64,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
宫腔镜
异常子宫出血
诊断价值
Uteroscope
Abnormal uterine bleeding
Diagnostic value
