25~55岁女性子宫内膜病变特点及诊断性刮宫术的意义  

Characteristics of endometrial lesions and significance of diagnostic curettage in women aged25 ~ 55 years

作　　者：张凤华 刘涛[2] 刘思雨[3] 李玲燕[1] Zhang Fenghua;Liu Tao;Liu Siyu;Li Lingyan(Department of Obstetrics and Gynecology,the Second People’s Hospital of Jiaozuo,Jiaozuo 454000,China;Department of Urology,the Second People’s Hospital of Jiaozuo,Jiaozuo 454000,China;Department of Ultrasound,the Second People’s Hospital of Jiaozuo,Jiaozuo 454000,China)

机构地区：[1]河南省焦作市第二人民医院妇产科,454000 [2]河南省焦作市第二人民医院泌尿外科,454000 [3]河南省焦作市第二人民医院超声科,454000

出　　处：《临床医学》2024年第4期9-12,共4页Clinical Medicine

摘　　要：目的 探讨25~55岁女性子宫内膜病变特点和诊断性刮宫术的意义。方法 选取2019年1月至2021年12月焦作市第二人民医院收治的25~55岁疑似子宫内膜病变患者150例为研究对象,所有患者均接受宫腔镜下诊断性刮宫术,以术后病理活检为“金标准”,分析诊断性刮宫的诊断结果、诊断效能,并研究女性子宫内膜病变特点。结果 150例疑似子宫内膜病变患者经病理检查确定子宫内膜正常45例(30.00%,45/150),子宫内膜息肉64例(42.67%,64/150),子宫内膜增生32例(21.33%,32/150),子宫内膜癌5例(3.33%,5/150),黏膜下肌瘤4例(2.67%,4/150)。150例疑似子宫内膜病变患者经术后病理活检显示阳性105例,阴性45例;经诊断性刮宫显示真阳性89例,真阴性41例。150例疑似子宫内膜病变患者经诊断性刮宫诊断灵敏度为84.76%(89/105),特异度为91.11%(41/45),准确度为86.67%(130/150),误诊率为8.89%(4/45),漏诊率为15.24%(16/105)。经诊断性刮宫显示子宫内膜息肉53例,黏膜下肌瘤8例,子宫内膜增生38例,子宫内膜癌5例,子宫内膜正常46例;诊断性刮宫对子宫内膜病变患者的诊断准确率为86.67%(130/150),且经诊断性刮宫显示子宫内膜增厚150例,但经病理检查显示为普通增生或内分泌期改变。结论 诊断性刮宫应用于25~55岁女性子宫内膜病变患者具有较高的灵敏度和准确性,能减少误诊及漏诊现象,且能反映女性子宫内膜病变特点。Objective To investigate the characteristics of endometrial lesions in women aged 25~55 years and the significance of diagnostic curettage.Methods A total of 150 patients aged 25~55 with suspected endometrial lesions admitted to the Second People’s Hospital of Jiaozuo from January 2019 to December 2021 were selected as the study subjects.All patients underwent diagnostic curettage under hysteroscopy,with postoperative pathological biopsy as the gold standard.The diagnostic results and efficacy of diagnostic curettage were analyzed,and the characteristics of female endometrial lesions were studied.Results The 150 suspected patients with endometrial lesions were confirmed to have normal endometrium in 45 cases(30.00%,45/150),endometrial polyps in 64 cases(42.67%,64/150),endometrial hyperplasia in 32 cases(21.33%,32/150),endometrial cancer in 5 cases(3.33%,5/150),and submucosal fibroids in 4 cases(2.67%,4/150)through pathological examination.Among the 150 suspected patients with endometrial lesions,postoperative pathological biopsies showed positive results in 105 cases and negative results in 45 cases.After diagnostic curettage,89 cases were positive and 41 cases were negative.The 150 suspected patients with endometrial lesions were diagnosed with a sensitivity of 84.76%(89/105),specificity of 91.11%(41/45),accuracy of 86.67%(130/150),misdiagnosis rate of 8.89%(4/45),and missed diagnosis rate of 15.24%(16/105)through diagnostic curettage. The diagnostic curettage revealed 53 cases of endometrial polyps,8 cases of submucosalfibroids,38 cases of endometrial hyperplasia,5 cases of endometrial cancer,and 46 cases of normalendometrium. The diagnostic accuracy of diagnostic curettage for patients with endometrial lesions was86. 67% ( 130 /150) ,and 150 cases showed endometrial thickening through diagnostic curettage,butpathological examination showed ordinary hyperplasia or endocrine phase changes.Conclusions Diagnostic curettage applied to women aged 25-55 with endometrial lesions has highsensitivity and accuracy,whic

关 键 词：子宫内膜病变 诊断性刮宫术 病变特点 

分 类 号：R711.74[医药卫生—妇产科学]