经阴道超声、宫腔镜检查在绝经后阴道流血病因诊断中的价值  

United transvaginal ultrasound and hysteroscopy on postmenopausal bleeding

作　　者：荆信勇[1] 李燚[1] 赵彦梅[1] 

机构地区：[1]聊城市第二人民医院,山东临清252601

出　　处：《山东医药》2009年第26期14-15,共2页Shandong Medical Journal

摘　　要：目的探讨经阴道超声(TVS)、宫腔镜检查在绝经后阴道流血(PMB)病因诊断中的价值。方法分析210例PMB患者的TVS和宫腔镜检查结果,并与病理检查结果作对比分析。结果TVS和宫腔镜检查并经病理检查确认,PMB的病因中子宫内膜良性病变占86.67%、子宫恶性肿瘤占13.33%。TVS诊断子宫内膜异常的敏感度、特异度、阳性预测值、阴性预测值及准确率分别为99.16%、51.65%、72.84%、97.92%及78.57%,宫腔镜分别为100%、91.21%、93.70%、100%及96.19%。结论TVS及宫腔镜对PMB病因诊断的敏感性都很高,宫腔镜的特异性高于TVS。Objective To evaluate the diagnostic value of transvaginal sonography （TNS） and hysteroscopy in the causes of postmenopausal bleeding （PMB）. Methods 210 cases of PMB were analysed. The results of TVS and hysteroscopy were compared with the pathological results. Results PMB causes were benign lesions 86.67%, uterine malignant tumors 13.33%. TVS＇s sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 99. 16%, 51.65%, 72.84%, 97.92% and 78.57%, hysteroscopy were 100%, 91.21%, 93.70%, 100% and 96.19%. Conelusion Both TVS and hysteroscopy have a high sensitivity in the cause of PMB, the specificity of hysteroscopy is higher than TVS.

关 键 词：绝经后阴道流血 阴道超声 宫腔镜 

分 类 号：R737.3[医药卫生—肿瘤]