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目的:探讨宫腔镜在绝经后妇女子宫内膜病变诊断中的应用价值。方法:选择2014年6月至2016年6月因绝经后阴道出血或超声提示子宫内膜增厚或宫腔占位病变而于我院就诊的患者105例,根据检查方法分为观察组(n=53)和对照组(n=52),观察组行宫腔镜诊刮术,对照组行分段诊断性刮宫术。结果:观察组子宫内膜息肉、子宫黏膜下肌瘤检出率高于对照组,而子宫内膜增生检出率低于对照组,差异均有统计学意义(P<0.05),其余疾病检出率差异无统计学意义(P>0.05);宫腔镜诊刮术诊断子宫内膜息肉、子宫黏膜下肌瘤、子宫内膜增生及子宫内膜癌的敏感性、特异性、阳性预测值、阴性预测值均高于分段诊刮术。结论:宫腔镜可作为绝经后子宫内膜病变的首选诊断方法。
Objective: To investigate the value of hysteroscopy in the diagnosis of endometrial lesions in postmenopausal women. Methods: From June 2014 to June 2016, 105 patients were referred to our hospital for postmenopausal vaginal bleeding or ultrasound-induced endometrial thickening or intrauterine lesions, and were divided into observation group (n = 53) and control group (n = 52). The observation group underwent hysteroscopy curettage, while the control group was divided into diagnostic curettage. Results: The detection rate of endometrial polyps and uterine submucosal fibroids in the observation group was higher than that in the control group, but the detection rate of endometrial hyperplasia was lower in the observation group than in the control group (P <0.05). The other diseases (P> 0.05). The sensitivity, specificity and positive predictive value of hysteroscopic diagnosis of endometrial polyps, uterine fibroids, endometrial hyperplasia and endometrial carcinoma , Negative predictive value were higher than the segmental curettage. Conclusion: Hysteroscopy can be used as the first choice for the diagnosis of endometriosis in postmenopausal women.