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目的:探讨阴道超声和宫腔镜对围绝经期异常子宫出血的诊断价值。方法:2004年9月～2009年5月就诊的124例围绝经期异常子宫出血患者进行阴道超声和宫腔镜检查,并在宫腔镜下进行活检,将阴道超声和宫腔镜检查结果与病理检查结果进行比较。结果:阴道超声检查的敏感度、特异度、阳性预测值、阴性预测值及准确度分别为97.67%、52.63%、82.35%、90.91%和83.87%;宫腔镜检查的敏感度、特异度、阳性预测值、阴性预测值及准确度分别为98.85%、89.19%、95.56%、97.06%和95.97%。结论:宫腔镜检查对围绝经期异常子宫出血的诊断具有重要价值,阴道超声联合宫腔镜检查可明确围绝经期异常子宫出血的原因,并提高诊断准确率。
Objective: To investigate the value of vaginal ultrasound and hysteroscopy in the diagnosis of abnormal uterine bleeding in perimenopausal period. Methods: From September 2004 to May 2009, 124 patients with abnormal uterine bleeding in perimenopausal period were examined by vaginal sonography and hysteroscopy. The results of vaginal sonography and hysteroscopy were compared with those by hysteroscopy. Pathological examination results were compared. Results: The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of vaginal ultrasonography were 97.67%, 52.63%, 82.35%, 90.91% and 83.87% respectively. The sensitivity, specificity, The positive predictive value, negative predictive value and accuracy were 98.85%, 89.19%, 95.56%, 97.06% and 95.97% respectively. Conclusion: Hysteroscopy is valuable for the diagnosis of abnormal uterine bleeding in perimenopausal period. Vaginal ultrasonography combined with hysteroscopy can identify the causes of abnormal uterine bleeding in perimenopausal period and improve the diagnostic accuracy.