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目的:探讨阴超联合宫腔镜对绝经期子宫内膜病变的诊断价值。方法:选取2013年1月至2015年12月因绝经后阴道出血在我院妇产科行阴超联合宫腔镜检查的患者共90例,于宫腔镜下内膜活检,并将检查结果与病理结果进行比较。结果:90例患者结合最后的病理诊断显示超声检查和宫腔镜检查在宫内膜增生、内膜萎缩的诊断符合率上,无显著性差异(P>0.05),在对内膜息肉、粘膜下肌瘤、内膜癌、慢性非特异性子宫内膜炎的诊断符合率上,存在显著性差异(P<0.05)。结论:超声检查具有有效、简便、经济的特点,但漏诊率较高,而宫腔镜检查是一种较为可靠的诊断方法,故诊断绝经期阴道出血使用TVS和宫腔镜联合检验效果好,值得临床推广应用。
Objective: To investigate the value of combined ultrasonography and hysteroscopy in the diagnosis of postmenopausal endometrial lesions. Methods: From January 2013 to December 2015, 90 patients with vaginal bleeding in post-menopausal vaginal bleeding in our hospital obstetrics and gynecology underwent ultrasonography hysteroscopy in hysteroscopic endometrial biopsy, and the test results Compared with the pathological results. Results: The combination of 90 patients with the final pathological diagnosis showed no significant difference (P> 0.05) in the diagnostic accuracy of endometrial hyperplasia and endometrial atrophy between ultrasound examination and hysteroscopy. In endometrial polyps, mucosa Lower fibroids, endometrial cancer, chronic nonspecific endometritis, there is a significant difference (P <0.05). Conclusion: Ultrasound has the characteristics of effective, simple and economical, but the rate of misdiagnosis is high, and hysteroscopy is a more reliable diagnostic method. Therefore, it is effective to use TVS and hysteroscopy to diagnose menopausal vaginal bleeding, Worthy of clinical application.