经阴道超声及宫腔镜诊断子宫内膜息肉的价值对比分析  

VALUE AND COMPARATIVE ANALYSIS OF DETECTING ENDOMETRIAL POLYPS BY USE OF TRANSVAGINAL ULTRASONOGRAPHY(TVS) COMBINED WITH HYSTEROSCOPY(HS)

作　　者：谢海珊[1] 余雪玲[1] 李泗玲[1] 丛林[1] 

机构地区：[1]广州开发区医院,广东广州510730

出　　处：《现代医院》2011年第4期75-77,共3页Modern Hospitals

摘　　要：目的探讨利用阴道超声结合宫腔镜检查提高子宫内膜息肉的检出率。方法通过对67例临床怀疑子宫内膜息肉的患者行经阴道彩超及宫腔镜检查,并病理最后确诊子宫内膜息肉,探讨二者在该疾病中的诊断价值及对比分析。结果经阴道超声(TVS)检查对子宫内膜息肉诊断的敏感性和特异性分别为84.5%和81.7%;宫腔镜(HS)对子宫内膜息肉诊断的敏感性和特异性分别为91.9%和95%。结论经阴道超声能够清晰显示子宫内膜息肉的部位、个数、大小,但要明确病变性质,其敏感性和特异性不如HS,二者的有机结合可以有效提高子宫内膜息肉的诊治效率。Objective Investigate the use of the combination of Transvaginal ultrasonography （TVS） and the Hysteroscopy（HS） to improve the Detection rate of Endometrial polyps. Methods Take the Transvaginal uhrasonography （TVS） and the Hysteroscopy（HS） examination through the 67 cases of clinical patients who are the suspected Endometrial polyps. And according to the Pathology results, they are finally diagnosis Endometrial polyps. Discuss the diagnosis value and Comparative Analysis to this disease through the two methods. Results Compared with the HS, the sensitivity and Specificity results are 91.9% and 95% alone, the result are 84.5% and 81.7% through the TVS. Conclusion The TVS can express the location, number and size of the Endometrial polyps clearly. But in order to ascertain the pathological changes, the sensitivity and specificity of TVS is not as good as HS. The conjugation of these two methods can improve the effectiveness of diagnosis for the Endometrial polyps effectively.

关 键 词：子宫内膜息肉 经阴道超声 宫腔镜 

分 类 号：R737.33[医药卫生—肿瘤]