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目的探讨宫腔镜联合B超在子宫内膜息肉诊断中的应用价值。方法选取莱芜市人民医院2010年4月至2013年6月收治的因子宫异常出血就诊患者120例,分别采用B超检查、宫腔镜检查,对宫腔镜检查诊断为子宫内膜息肉的32例患者采取宫腔镜子宫内膜息肉电切术并进行病理检查,将术前B超及宫腔镜检查结果与术后病理结果进行比较。结果 B超检查、宫腔镜检查、宫腔镜联合B超检查的灵敏度分别为40.0%、90.0%、96.67%,特异度分别为91.11%、94.44%、97.78%,漏诊率分别为60.0%、10.0%、3.33%,误诊率分别为8.89%、5.56%、2.22%,Kappa值分别为0.674、0.867、0.934(P<0.05)。结论对子宫内膜息肉患者,术前宫腔镜检查较B超检查的准确率高,B超联合宫腔镜检查对术前诊断具有更高的临床价值。
Objective To investigate the value of hysteroscopy in the diagnosis of endometrial polyps. Methods A total of 120 patients with abnormal uterine bleeding were selected from People’s Hospital of Laiwu City from April 2010 to June 2013. The patients were diagnosed as endometrial polyps by ultrasonography, hysteroscopy and hysteroscopy Cases of patients with hysteroscopic endometrial polyps resection and pathological examination, preoperative B ultrasound and hysteroscopy results and postoperative pathological results were compared. Results The sensitivities of B ultrasound, hysteroscopy and hysteroscopy combined with B ultrasound were 40.0%, 90.0% and 96.67% respectively, and the specificity were 91.11%, 94.44% and 97.78% respectively. The misdiagnosis rates were 60.0% 10.0% and 3.33% respectively. The misdiagnosis rates were 8.89%, 5.56% and 2.22%, respectively. The Kappa values were 0.674,0.867,0.934 (P <0.05). Conclusion For patients with endometrial polyps, the accuracy of preoperative hysteroscopy is higher than that of B ultrasound, B-ultrasound combined with hysteroscopy has a higher clinical value for preoperative diagnosis.