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目的:研究分析宫腔镜和宫腔超声、造影术联合使用,在子宫腔内占位性病变患者的应用价值。方法:根据2010年6月至2013年6月我院的60例患者来进行分析,共有30例子宫粘膜下肌瘤和30例内膜息肉病例。对这些患者进行超声诊断、造影、宫腔镜观察、组织检验等诊断措施。结果:子宫内膜息肉患者使用宫腔超声和造影术的敏感率是93.3%,病理诊断确诊率是71.4%;宫腔镜的敏感率是96.7%,病理诊断确诊率是93.1%。子宫粘膜下肌瘤患者使用宫腔超声及造影术的敏感率是86.7%,病理诊断准确率是61.5%;宫腔镜敏感率90.0%,病理诊断准确率88.9%。结论:子宫内膜息肉和子宫粘膜下肌瘤使用宫腔镜的敏感性和准确性要比宫腔超声和造影术优秀,宫腔镜和宫腔超声以及造影术联合使用可以提升诊断的准确率,而且宫腔超声和造影术可以为宫腔镜电切术提供条件,安全高效。
Objective: To study and analyze the value of hysteroscopy and uterine ultrasound combined with angiography in patients with space-occupying lesions in uterine cavity. Methods: According to 60 patients in our hospital from June 2010 to June 2013, there were 30 cases of uterine submucosal fibroids and 30 cases of endometrial polyps. Ultrasound diagnosis of these patients, angiography, hysteroscopy, tissue test and other diagnostic measures. Results: The sensitivity rate of endometrial polyps and uterine ultrasound was 93.3% and pathological diagnosis was 71.4%. The sensitivity of hysteroscopy was 96.7% and the diagnostic rate of pathology was 93.1%. Uterine fibroids in patients with uterine cavity ultrasound and imaging sensitivity was 86.7%, pathological diagnosis accuracy rate was 61.5%; hysteroscopy sensitivity rate of 90.0%, pathological diagnosis accuracy rate of 88.9%. Conclusions: The sensitivity and accuracy of hysteroscopy in endometrial polyps and uterine submucosal fibroids are better than that of uterine ultrasound and contrast-enhanced imaging. The combined use of hysteroscopy and uterine ultrasound and angiography can improve the diagnostic accuracy , And uterine ultrasound and angiography can provide the conditions for hysteroscopic resection, safe and efficient.