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目的对比分析宫腔镜检查与阴道超声诊断子宫内膜息肉(EP)的准确性。方法对经阴道超声诊断为EP的78例患者行电视宫腔镜检查和治疗。结果术前阴道超声宫腔内异常回声78例,宫腔镜镜下诊断EP37例,术后病理证实为EP34例;阴道超声诊断符合率为43.6%,宫腔镜诊断符合率为91.9%。经χ2检验,两者诊断符合率比较差异有显著性(P<0.05)。结论阴道超声是无创检查,可作为EP的筛查手段,但假阳性率高;宫腔镜检查更准确、直观、安全,能准确定位活检,是诊断和治疗EP的首选且有效的方法。
Objective To analyze the accuracy of hysteroscopy and vaginal ultrasound in the diagnosis of endometrial polyps (EP). Methods Totally 78 cases of EP diagnosed by transvaginal sonography were treated with TV hysteroscopy. Results There were 78 cases of abnormal echoes in the intrauterine vaginal ultrasound and 37 cases of EP in the hysteroscopy. The coincidence rate of vaginal ultrasound was 43.6%. The coincidence rate of hysteroscopy was 91.9%. By χ2 test, the diagnostic accuracy of the two was significantly different (P <0.05). Conclusions Vaginal ultrasound is a noninvasive examination, which can be used as a screening method for EP, but the false positive rate is high. Hysteroscopy is more accurate, intuitive and safe and can accurately locate the biopsy. It is the first choice and effective method for the diagnosis and treatment of EP.