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目的评估阴道超声联合宫腔镜应用对子宫内膜病变的诊断价值。方法阴道超声提示子宫内膜病变患者200例,并进一步行宫腔镜检查,检查患者的病变类型,并与病理检查结果进行比较,评估阴道超声联合宫腔镜诊断子宫内膜病变的特异度和灵敏度。结果与病理活检结果比较,阴道超声联合宫腔镜诊断子宫内膜病变准确率高于阴道超声诊断(P<0.05),并且阴道超声联合宫腔镜诊断子宫内膜病变的特异度和灵敏度均高于阴道超声诊断(93.6%vs.86.1%和96.1%vs.90.6%)(P<0.05)。结论阴道超声联合宫腔镜可以提高子宫内膜病变的诊断准确率,降低漏诊率和误诊率,可以作为临床上早期诊断子宫内膜病变的首选方法。
Objective To evaluate the diagnostic value of vaginal ultrasound combined with hysteroscopy in the diagnosis of endometrial lesions. Methods 200 cases of endometrial lesions were diagnosed by vaginal ultrasonography. Hysteroscopy was further performed to examine the type of lesions in patients with endometriosis. The results were compared with the results of pathological examination to evaluate the specificity and sensitivity of vaginal ultrasound combined with hysteroscopy in the diagnosis of endometrial lesions . Results Compared with pathological biopsy results, the diagnostic accuracy of vaginal ultrasonography combined with hysteroscopy in endometrial lesions was higher than that of vaginal ultrasound (P <0.05), and the specificity and sensitivity of vaginal ultrasonography combined with hysteroscopy in the diagnosis of endometrial lesions were high In vaginal ultrasound diagnosis (93.6% vs 86.1% vs 96.1% vs 90.6%) (P <0.05). Conclusion Vaginal ultrasound combined with hysteroscopy can improve the diagnostic accuracy of endometrial lesions and reduce the misdiagnosis rate and misdiagnosis rate, which can be used as the first choice for clinical diagnosis of endometrial lesions.