经阴道超声和宫腔镜检查对异常子宫出血病因的诊断价值  

The diagnostic value of transvaginal sonography and hysteroscopy in the causes of abnormal uterine bleeding

作　　者：谭迎春[1] 王莉[1] 张广英[2] 

机构地区：[1]山东大学附属千佛山医院妇产科,山东济南250014 [2]山东大学附属千佛山医院超声科,山东济南250014

出　　处：《医学影像学杂志》2010年第6期870-872,共3页Journal of Medical Imaging

摘　　要：目的:探讨经阴道超声(TVS)和宫腔镜(HS)检查在异常子宫出血(AUB)病因诊断中的价值。方法:分析246例异常子宫出血患者的经阴道超声和宫腔镜结果,并与病理检查结果作对比分析。结果:TVS诊断宫内病变的敏感性、特异性分别为88.9%、57.1%,HS分别为100%、90.9%。结论:TVS及HS对AUB病因诊断的敏感性都较高,但HS的特异性明显高于TVS。HS结合直视下活检的病理诊断已成为诊断AUB患者宫内病变的金标准。Objective：To evaluate the diagnostic value of transvaginal sonography（TVS） and hysteroscopy（HS） in the causes of abnormal uterine bleeding（AUB）. Methods：The data of TVS and HS of 246 patients with AUB were analysed and compared with the pathological results.Results：The sensitivity and specificity of TVS to the intrauterine cavity lesion were 88.9% and 57.1%,while those of HS were 100% and 90.9% respectively.Conclusion：The sensitivity of TVS and HS to the causes of AUB is high,but the specificity of HS is obviously higher than TVS.HS with biopsy is the gold diagnostic standard for the causes of AUB.

关 键 词：异常子宫出血 阴道超声 宫腔镜 

分 类 号：R711.74[医药卫生—妇产科学] R445.1[医药卫生—临床医学]