目的探讨超声联合宫腔镜在子宫出血患者诊断中的应用价值。方法选取2013年10月至2014年10月大连市第二人民医院收治的子宫出血患者400例为研究对象,按随机数字表法分为研究组和对照组,每组200例。所有患者均接受常规病理检查,对照组患者仅接受超声检查,研究组患者接受超声联合宫腔镜检查,比较两种检查方法的敏感度、特异度、阳性预测值和阴性预测值。结果研究组超声联合宫腔镜检查的敏感度、特异度、阳性预测值及阴性预测值分别为100.0%、90.8%、80.7%、100.0%,均明显高于对照组的99.1%、50.6%、72.3%、97.8%,差异均有统计学意义(均P<0.05)。结论超声联合宫腔镜检查对于子宫出血患者有较高的诊断价值,相对于单独应用超声检查,可以更全面地观察子宫内部情况,提高子宫出血诊断的正确率。 Objective To investigate the value of ultrasound combined with hysteroscopy in the diagnosis of patients with uterine bleeding. Methods From October 2013 to October 2014, 400 cases of uterine bleeding in Dalian Second People’s Hospital were enrolled and divided into study group and control group according to random number table method, 200 cases in each group. All patients underwent routine pathological examination. Patients in the control group received ultrasound only. Patients in the study group underwent ultrasound combined with hysteroscopy. The sensitivity, specificity, positive predictive value and negative predictive value of the two methods were compared. Results The sensitivity, specificity, positive predictive value and negative predictive value of ultrasound combined with hysteroscopy in the study group were 100.0%, 90.8%, 80.7% and 100.0%, respectively, which were significantly higher than those of the control group (99.1%, 50.6% 72.3% and 97.8%, respectively (all P <0.05). Conclusion Ultrasound combined with hysteroscopy in patients with uterine bleeding has a higher diagnostic value, compared with the single application of ultrasound, you can more fully observe the situation within the uterus to improve the diagnostic accuracy of uterine bleeding.