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目的:观察绝经后子宫出血应用阴道超声和宫腔镜诊断的价值。方法:选择医院2014年4月~2015年6月治疗的绝经后子宫出血患者119例,均给予阴道超声检查和宫腔镜检查,并与病理检查结果对比,观察两种检查方法的诊断准确率,对比两组检查方法的敏感度及阳性预测值。结果:宫腔镜诊断准确率高于阴道超声诊断准确率,阴道超声诊断敏感度及阳性预测值均低于宫腔镜检查,差异具有统计学意义(P<0.05)。结论:临床诊断绝经后子宫出血时,宫腔镜诊断价值高于阴道超声,可作为临床常规的诊断方法之一。
Objective: To observe the value of vaginal ultrasound and hysteroscopy in the diagnosis of postmenopausal uterine bleeding. Methods: A total of 119 patients with postmenopausal uterine bleeding who were treated in our hospital from April 2014 to June 2015 were enrolled in this study. Vaginal ultrasonography and hysteroscopy were performed. The diagnostic accuracy of the two methods was compared with that of the pathological examination The sensitivity and positive predictive value of the two methods were compared. Results: The diagnostic accuracy of hysteroscopy was higher than that of vaginal ultrasound diagnosis. The diagnostic sensitivity and positive predictive value of vaginal ultrasound were lower than that of hysteroscopy (P <0.05). Conclusion: The value of hysteroscopy in the diagnosis of postmenopausal uterine bleeding is higher than that of vaginal ultrasound, which can be used as one of the routine clinical diagnostic methods.