阴道B超和宫腔镜对子宫内膜息肉的诊断价值  

DISCUSSION ON THE VALUE OF TRANSVAGINAL ULTRASOUND AND HYSTEROSCOPY IN THE DIAGNOSIS OF ENDOMETRIAL POLYP

作　　者：周英杰[1] 王轩[1] 李晓冬[1] 黄向华[1] 

机构地区：[1]河北医科大学第二医院妇科,河北石家庄050000

出　　处：《河北医科大学学报》2010年第11期1320-1322,共3页Journal of Hebei Medical University

摘　　要：目的比较阴道B超和宫腔镜对子宫内膜息肉(endometrial polyp,EP)的诊断价值。方法对310例阴道异常出血或不孕的患者,进行阴道B超及宫腔镜检查和(或)镜下活检,以病理诊断为标准,计算2种方法与最后病理的诊断符合率、敏感性、特异性、假阴性率、假阳性率。结果阴道B超对子宫内膜息肉诊断的符合率、敏感性、特异性、假阴性率、假阳性率分别为62.24%、82.43%、84.32%、15.68%、17.57%。宫腔镜对子宫内膜息肉的诊断符合率、敏感性、特异性、假阴性率、假阳性率分别为83.07%、93.10%、95.63%、4.37%、6.89%。结论阴道B超诊断子宫内膜息肉与病理的符合率较低,因其无创、方便和快捷,可作为子宫内膜息肉术前筛查和术后随访的手段。宫腔镜诊断子宫内膜息肉具有更高的病理符合率、敏感性和特异性,可作为诊断子宫内膜息肉的首选检查方法。Objective To analyze the value of hysteroscopy and transvaginal ultrasound in the diagnosis of endometrial polyp （EP）. Methods A total of 310 patients with abnormal metrorrhagia or infertility were evaluated by transvaginal ultrasound and hysteroscopy, followed by biopsy during hysteroscopy. The diagnose accordance rate, sensitivity, specificity, false megative rate and false positive rate were calculated and compared between the two approaches after the pathological standard. Results The diagnose accordance rate, sensitivity, specificity, false negative rate, false positive rate of transvaginal ultrasound with pathological examination in diagnosing EP was 62.24%, 82.43%, 84.32%, 15.68% and 17.57% respectively. The diagnose accordance rate, sensitivity, specificity, false negative rate ,false positive rate of hysteroscopy with pathological examination in diagnosing EP was 83.07%, 93.10%, 95.63%, 4.37% and 6.89% respectively. Conclusion The coincidence rate of transvaginal ultrasound is lower than hysteroscopy by pathological standard. As an non -invaded, convenient and shortcut method, transvaginal ultrasound can be used in preoperative screening and postoperative follow -up visiting. Hysteroscopy can be used as an first selected method in EP diagnosing because of its higher coincidence rate, sensitivity and specificity.

关 键 词：阴道 宫腔镜 诊断 

分 类 号：R711.74[医药卫生—妇产科学]