论文部分内容阅读
目的探讨宫腔镜在诊断子宫内膜增厚病变中的应用价值。方法选取2015年5月~2016年12月在我院就诊的因异常子宫出血行B超检查,提示子宫内膜增厚的患者共120例,其中60例行诊刮术的患者作为诊刮组,60例行宫腔镜检查及治疗的患者作为宫腔镜组。比较分析两组患者子宫内膜增厚的诊断请情况。结果宫腔镜组在诊断子宫内膜息肉、黏膜下子宫肌瘤及宫腔粘连中与诊刮组比较有更高的检出率,差异有统计学意义(P<0.05);对子宫内膜息肉、黏膜下子宫肌瘤、子宫内膜增生诊断的敏感度、特异度、阳性预测值、阴性预测值等指标,宫腔镜组高于诊刮组。结论宫腔镜能直视宫腔内病变,定点取材,诊断准确率高,值得用于子宫内膜增厚的诊断。
Objective To explore the value of hysteroscopy in the diagnosis of endometrial thickening. Methods From May 2015 to December 2016 in our hospital for treatment of abnormal uterine bleeding by line B-ultrasound, suggesting that a total of 120 cases of endometrial thickening, of which 60 cases of curettage patients as a curettage group , 60 cases of hysteroscopy and treatment of patients as a hysteroscopy group. Comparative analysis of two groups of patients with endometrial thickening of the diagnosis please situation. Results hysteroscopy group in the diagnosis of endometrial polyps, submucosal uterine fibroids and intrauterine adhesions with curettage group have a higher detection rate, the difference was statistically significant (P <0.05); endometrial Polyps, submucosal uterine fibroids, endometrial hyperplasia diagnostic sensitivity, specificity, positive predictive value, negative predictive value and other indicators of the hysteroscopy group was higher than curettage group. Conclusion Hysteroscopy can directly look into the intrauterine lesions, fixed-point drawn, high diagnostic accuracy, it is worth for the diagnosis of endometrial thickening.