摘要
目的研究宫腔镜检查技术在异常子宫出血患者诊断中的应用价值。方法选择2019年6月—2021年6月重庆市梁平区人民医院收治的60例异常子宫出血患者,分别进行宫腔镜诊断、阴道超声合并传统诊刮术。将病理学诊断作为金标准,比较两种诊断方法检出阳性率、敏感性以及阳性值。结果宫腔镜检查的真阳性率为88.3%,高于阴道超声合并传统诊刮术的63.3%,差异有统计学意义(χ~2=10.231,P<0.05);宫腔镜检查的子宫内膜增殖症、子宫内膜息肉、子宫内膜癌的敏感性以及阳性值高于阴道超声合并传统诊刮术检查,宫腔镜检查下的子宫黏膜下肌瘤敏感性低于阴道超声合并传统诊刮术检查。结论异常子宫出血患者通过宫腔镜检查,能够有效提升患者的检出阳性率以及诊断敏感性,应用价值较高。
Objective To study the application value of hysteroscopy in the diagnosis of abnormal uterine bleeding.Methods 60 patients with abnormal uterine bleeding admitted to Liangping District People’s Hospital of Chongqing from June 2019 to June 2021 were selected for hysteroscopy diagnosis and transvaginal ultrasound combined with traditional curettage.Pathological diagnosis was taken as the gold standard,and the true positive rate,sensitivity and positive value of the two diagnostic methods were compared.Results The true positive rate of hysteroscopy was 88.3%,which was higher than 63.3%of vaginal ultrasound combined with traditional curettage,and the difference was statistically significant(χ~2=10.231,P<0.05).The sensitivity and positive value of hysteroscopy for endometrial hyperplasia,endometrial polyps and endometrial cancer were higher than those of transvaginal ultrasound and traditional curettage,and the sensitivity of hysteroscopy for submucosal myoma was lower than that of transvaginal ultrasound and traditional curettage.Conclusion Hysteroscopy in patients with abnormal uterine bleeding can effectively improve the detection rate and diagnostic sensitivity of patients,and has high application value and is worthy of promotion.
作者
唐仕蓉
TANG Shirong(Department of Obstetrics and Gynecology,Liangping District People's Hospital,Chongqing,405200 China)
出处
《世界复合医学》
2022年第9期75-78,共4页
World Journal of Complex Medicine
关键词
宫腔镜检查
异常子宫出血
检出阳性率
敏感性
阳性值
应用价值
Hysteroscopy
Abnormal uterine bleeding
Positive rate of detection
Sensitivity
Positive value
Application value
