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目的:对比分析阴道超声与宫腔镜对子宫内膜息肉(EP)的诊断价值。方法:回顾性分析143例子宫异常出血患者阴道超声及宫腔镜检查结果,并与病理结果作对照。结果:病理确诊EP 39例,阴道超声诊断EP的灵敏度、特异度、阳性预测值、阴性预测值分别为71.79%、92.31%、77.78%、89.72%,宫腔镜诊断则分别为94.87%、93.27%、84.09%、97.98%,宫腔镜对EP诊断的符合率高于阴道超声(P<0.05)。结论:宫腔镜较阴道超声检查更准确、直观,是确诊EP更有效的检查方法。
Objective: To compare the diagnostic value of vaginal ultrasound and hysteroscopy in endometrial polyps (EP). Methods: A retrospective analysis of 143 cases of abnormal uterine bleeding in patients with vaginal ultrasound and hysteroscopy, and pathological findings as a control. Results: The sensitivity, specificity, positive predictive value and negative predictive value of vaginal ultrasonography were 71.79%, 92.31%, 77.78% and 89.72%, respectively. The diagnosis of hysteroscopy was 94.87% and 93.27 respectively %, 84.09%, 97.98%. The coincidence rate of hysteroscopy in diagnosis of EP was higher than that of vaginal ultrasound (P <0.05). Conclusion: Hysteroscopy is more accurate and visual than vaginal ultrasound, which is a more effective method to diagnose EP.