宫腔镜检查诊断子宫异常出血的临床价值及子宫出血与内膜厚度相关性分析  

Clinical value of hysteroscopy in diagnosis of abnormal uterine bleeding and analysis of correlation between uterine bleeding and endometrial thickness

作　　者：丁亚沙 曹维维 DING Yasha;CAO Weiwei(Department of Obstetrics and Gynecology,Nanjing Red Cross Hospital,Nanjing,Jiangsu,210001,China)

机构地区：[1]南京市红十字医院妇产科,江苏南京210001

出　　处：《当代医学》2023年第12期121-123,共3页Contemporary Medicine

摘　　要：目的探究宫腔镜检查诊断子宫异常出血的临床价值及子宫出血与内膜厚度相关性。方法选取2018年7月至2020年7月本院收治的68例子宫异常出血患者作为研究对象,均进行宫腔镜检查与阴道超声检查,以手术病理结果为金标准分析两种检查方式的检查结果及子宫出血与内膜厚度间的相关性。结果病理检查结果显示,68例患者均确定为子宫异常出血,宫腔镜共检出54例子宫异常出血,阴道超声检查共检出51例子宫异常出血。宫腔镜诊断符合率、灵敏度均高于阴道超声检查,差异有统计学意义(P<0.05);两种检查方式特异度比较差异无统计学意义。宫腔镜检查与阴道超声检查对子宫内膜癌、黏膜下子宫肌瘤、子宫内膜炎、子宫内膜增生症、子宫内膜息肉的检出率比较差异均无统计学意义;子宫内膜癌患者的子宫内膜厚度显著大于其他疾病,差异有统计学意义(P<0.05);其他子宫出血患者子宫内膜厚度比较差异无统计学意义;子宫内膜癌患者与子宫内膜厚度有相关性(r>0,P<0.05)。结论宫腔镜检查诊断子宫异常出血的准确率、诊断准确率和灵敏度均较高,可有效明确子宫出血病因,为子宫出血与子宫内膜厚度间的相关性分析提供可靠的影像学资料,诊断价值较高。Objective To explore the clinical value of hysteroscopy in diagnosis of abnormal uterine bleeding and analysis of correlation between uterine bleeding and endometrial thickness.Methods A total of 68 patients with abnormal uterine bleeding admitted to our hospital from July 2018 to July 2020 were selected as the research subjects,hysteroscopy and vaginal ultrasound were performed in all patients.The pathological results of surgery were used as the gold standard to analyze the examination results of the two methods and the correlation between uterine bleeding and endometrial thickness.Results Pathological examination results showed that abnormal uterine bleeding was confirmed in all 68 patients,hysteroscopy detected 54 cases of abnormal uterine bleeding,and vaginal ultrasonography detected 51 cases of abnormal uterine bleeding.The diagnosis coincidence rate and sensitivity of hysteroscopy were higher than those of vaginal ultrasound,and the differences were statistically significant(P<0.05);there was no significant difference in the specificity between the two methods.There were no significant differences in the detection rates of endometrial cancer,submucosal fibroids,endometritis,endometrial hyperplasia and endometrial polyps between hysteroscopy and vaginal ultrasonography.The endometrial thickness of patients with endometrial cancer was significantly higher than that of other diseases,and the difference was statistically significant(P<0.05).There was no significant difference in endometrial thickness in other patients with uterine bleeding;endometrial cancer patients were associated with endometrial thickness(r>0,P<0.05).Conclusion Hysteroscopy has high accuracy,diagnostic accuracy and sensitivity in the diagnosis of abnormal uterine bleeding,which can effectively identify the cause of uterine bleeding and provide reliable imaging data for the correlation analysis between uterine bleeding and endometrial thickness,and has high diagnostic value.

关 键 词：宫腔镜 子宫异常出血 临床价值 内膜厚度 相关性 

分 类 号：R711.52[医药卫生—妇产科学]