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目的 对比分析宫腔镜与B超诊断子宫内膜息肉 (EP)的准确性。方法 回顾性分析 2 0 0 2年 1月至2 0 0 2年 8月因子宫异常出血 (AUB)行宫腔镜检查的患者 4 2 7例 ,对其中宫腔镜检查 (HS)诊断为EP的 87例临床资料进行分析。全部病例均行宫腔镜子宫内膜息肉电切术 (TCRP)及病理检查 ,将病理结果与B超诊断和HS对比分析。结果 病理报告EP 77例 ,宫腔镜诊断EP的敏感度、特异度、假阴性率、假阳性率分别为 10 0 0 0 %、97 14 %、0、2 86 % ,B超诊断EP分别为 38 96 %、98 2 9%、6 1 0 4 %、1 71%。结论 B超是无创检查 ,可作为EP的筛查手段 ,但漏诊率高 ;HS更准确、直观、安全 ,是确诊EP的首选检查方法。
Objective To comparatively analyze the accuracy of hysteroscopy and B-mode ultrasonography in the diagnosis of endometrial polyps (EP). Methods Four hundred and seventy-seven cases of hysteroscopy due to abnormal uterine bleeding from January 2002 to August 2002 were retrospectively analyzed. Among them, hysteroscopy (HS) was diagnosed as EP 87 cases of clinical data analysis. All patients underwent hysteroscopic endometrial polypectomy (TCRP) and pathological examination, the pathological results and B-ultrasound and HS comparative analysis. Results The pathological reports of EP showed that the sensitivity, specificity, false-negative rate and false-positive rate of hysteroscopy in diagnosing EP were 100%, 97%, 0%, 86% 38 96%, 98 2 9%, 6 1 0 4%, 1 71%. Conclusion B ultrasound is a non-invasive examination, which can be used as a screening method for EP, but the rate of misdiagnosis is high. HS is more accurate, intuitive and safe, and is the preferred method of examination for EP.