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目的:比较并评价阴道超声与宫腔镜检查诊断绝经后子宫出血的临床效果及诊断价值。方法:132例绝经后子宫出血患者均行阴道超声检查、宫腔镜检查及病理活检检查,以病理检查结果为诊断标准,比较阴道超声与宫腔镜检查的敏感性和阳性预测值。结果:阴道超声检查与宫腔镜检查均有较高的敏感性和阳性预测值,宫腔镜检查优于阴道超声检查,差异有统计学意义(P<0.01,P<0.05)。结论:临床中应在阴道超声检查的基础上有针对性地进行宫腔镜检查,两者联合检查可提高绝经后子宫出血检查的敏感性和阳性预测值。
Objective: To compare and evaluate the clinical effects and diagnostic value of vaginal ultrasound and hysteroscopy in the diagnosis of postmenopausal uterine bleeding. Methods: 132 cases of postmenopausal uterine bleeding patients underwent vaginal ultrasound examination, hysteroscopy and pathological biopsy, pathological examination results as a diagnostic criteria, the sensitivity and positive predictive value of vaginal ultrasound and hysteroscopy. Results: Vaginal ultrasound examination and hysteroscopy have higher sensitivity and positive predictive value, hysteroscopy better than vaginal ultrasound examination, the difference was statistically significant (P <0.01, P <0.05). Conclusion: Hysteroscopy should be conducted on the basis of vaginal ultrasonography in clinical practice. The combination of the two can improve the sensitivity and positive predictive value of postmenopausal uterine bleeding.