论文部分内容阅读
目的探讨宫腔镜检查对绝经后子宫出血的诊断价值。方法选取绝经后子宫出血患者62例,给予阴道B超检查及宫颈检查,并在检查过程中取活检行病理检查。对两种检查结果与病理学检查结果进行对照,分析其诊断符合率。结果以病理学检查结果为金标准,宫腔镜检查诊断符合率明显高于阴道B超检查,特别是在子宫内膜非占位病变、子宫内膜增生以及子宫内膜癌三种病理改变方面,宫腔镜检查诊断符合率明显较高。上述比较两组检查方法差异明显,有统计学意义(P<0.05)。结论宫腔镜检查具有损伤小、诊断率高等优点,而且方便与病理学检查相结合,是一种比较可靠的诊断方法。
Objective To investigate the diagnostic value of hysteroscopy in postmenopausal uterine bleeding. Methods Sixty-two patients with post-menopausal uterine bleeding were selected, and vaginal ultrasonography and cervical examination were performed. Biopsy pathology was performed during the examination. The two test results and pathological examination results were compared, analysis of diagnostic accuracy. The results of the pathological examination as the gold standard hysteroscopy diagnostic accuracy was significantly higher than the vaginal B-ultrasound, especially in endometrial non-occupying lesions, endometrial hyperplasia and endometrial cancer three pathological changes Hysteroscopy diagnosis was significantly higher. The comparison of the two inspection methods was significantly different, with statistical significance (P <0.05). Conclusion Hysteroscopy with small damage, high diagnostic rate, and easy to combine with pathological examination, is a more reliable diagnostic method.