宫腔镜对宫腔积液的病因及恶性病变的鉴别诊断价值  

The value of endoscopicultrasonography in differential diagnosis of hydrohystera

作　　者：杨翠英 张淑清[1] 黄淑瑜[1] FANG Cuiying;ZHANG Shuqing;HUANG Shuyu(Department ofObstetrics and Gynecology,Foshan First People＇ s Hospital,Foshan 528000,Guangdong,Chin)

机构地区：[1]佛山市第一人民医院妇产科,广东佛山528000

出　　处：《中国性科学》2018年第5期61-63,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨宫腔积液患者采用宫腔镜检查对病因及妇科子宫恶性疾病的鉴别诊断能力。方法:选取2013年9月至2016年8月佛山市第一人民医院300例经超声检查发现的宫腔积液患者进行回顾性分析,所有患者均接受了宫腔镜及病理学检查,分析宫腔镜在诊断宫腔积液病因及鉴别诊断子宫恶性病变中的临床应用价值。结果:300例接受宫腔镜检查的宫腔积液患者,主要病因为宫腔积脓(51.33%),其次分别为子宫内膜炎(12.00%)、子宫内膜息肉(10.00%)和子宫内膜增生(7.33%);宫腔镜检查误诊子宫内膜腺癌2例,漏诊子宫内膜癌5例;鉴别诊断子宫恶性病变的灵敏度为75.00%,特异度为99.29%;漏诊率为25.00%,误诊率为0.71%。结论:宫腔积液患者采用宫腔镜检查,能初步明确患者病因,其鉴别诊断患者子宫恶性疾病的特异度较高。Objective： To investigate the diagnosis and treatment value of endoscopic ultrasonography for the gynecological diseases of patients with hydrohystera. Methods： 300 patients diagnosed by ultrasound examination of hydrohystera from September 2013 to August 2016 were selected and the data was retrospectively analyzed.All the patients underwent endoscopic ultrasonography and pathological examination of vagina,to analyze the clinical application value of endoscopic ultrasonography in the analysis of the causes of hydrohystera and differential diagnosis of uterine malignant lesions. Results： Of the 300 patients, the causes were mainly uterine empyema（ 51. 33%）,followed by endometritis（ 12%）,endometrial polyps（ 10%） and endometrial hyperplasia（ 7. 33%）.In the endoscopic ultrasonography,there were 2 cases of misdiagnosis and 5 cases of missed diagnosis. The sensitivity,specificity,misdiagnosis rate and rate of missed diagnosis were 75. 00%,99. 29%,25. 00% and 0. 71% respectively. Conclusions： Endoscopic ultrasonography is conductive in identifying the cause of hydrohystera,with high specificity of the differential diagnosis of uterine malignant disease.

关 键 词：宫腔积液 宫腔镜 子宫 恶性疾病 鉴别诊断 

分 类 号：R713[医药卫生—妇产科学]