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目的观察阴道超声及宫腔镜检查对绝经子宫出血患者病症的确诊效果。方法选取医院接受检查治疗的患者147例,分别对其进行阴道超声及宫腔镜检查,并进行活检确诊,统计其检查效果。结果病理检查确诊,患有内膜非特异性病变75例(51.0%),子宫内膜息肉21例(14.3%),子宫内膜增殖症29例(19.7%),子宫黏膜下肌瘤17例(11.6%)子宫内膜癌5例(3.4%),而采用阴道超声检出上述病症分别为53例、23例、10例、13例、7例;而采用宫腔镜检出上述病症分别为69例、24例、16例、16例、9例,三者之间存在较大差异,同时对其敏感性及阳性预测值分析,宫腔镜检查要优于阴道超声检查,差异有统计学意义(P<0.05或P<0.01)。结论阴道超声及宫腔镜检查均可用于绝经患者子宫出血检查,但宫腔镜由于其敏感性好,阳性预测值高,可作为对该类患者进一步检查使用,效果较好。
Objective To observe the diagnosis effect of vaginal ultrasound and hysteroscopy on the patients with postmenopausal uterine bleeding. Methods A total of 147 hospitalized patients were selected for vaginal ultrasound examination and hysteroscopy. Biopsy was performed to diagnose them and the results were analyzed. Results Pathological examination confirmed 75 cases (51.0%) with endomyocardial non-specific lesions, 21 cases (14.3%) with endometrial polyps, 29 cases (19.7%) with endometrial hyperplasia, 17 cases with uterine submucous myoma 11.6%), endometrial cancer in 5 cases (3.4%), while the use of vaginal ultrasound were detected in 53 cases, 23 cases, 10 cases, 13 cases, 7 cases; hysteroscopy detected the above conditions were 69 cases, 24 cases, 16 cases, 16 cases, 9 cases, there is a big difference between the three, while its sensitivity and positive predictive value analysis, hysteroscopy better than vaginal ultrasound, the difference was statistically significant Significance (P <0.05 or P <0.01). Conclusions Both vaginal ultrasound and hysteroscopy can be used to detect uterine bleeding in menopause patients. However, hysteroscopy can be used as further examination for these patients due to its good sensitivity and positive predictive value.