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目的探讨宫腔镜与阴道彩超诊断异常子宫出血的应用价值。方法应用两种方法诊治异常子宫出血患者298例,取材后送病检,比较两种方法与病理诊断的符合率。结果诊断的总符合率、总误诊率及漏诊率阴道彩超为70.47%、35.91%、31.54%;宫腔镜为91.28%、8.72%、10.74%,两者间差异有统计学意义(P<0.05);对于黏膜下肌瘤,两种方法与病理活检的符合率为100%。结论宫腔镜较阴道彩超诊断的灵敏度及准确度高,对于黏膜下肌瘤,两种方法都能有效诊断。
Objective To investigate the value of hysteroscopy and vaginal ultrasound in the diagnosis of abnormal uterine bleeding. Methods Two kinds of methods were used to diagnose and treat 298 patients with abnormal uterine bleeding. The specimens were sent for pathological examination, and the coincidence rates of the two methods and pathological diagnosis were compared. Results The total coincidence rate, total misdiagnosis rate and missed diagnosis rate of vaginal ultrasound were 70.47%, 35.91% and 31.54%, respectively. The hysteroscopy was 91.28%, 8.72% and 10.74% respectively, with significant difference between the two groups (P <0.05 ); For submucosal fibroids, the coincidence rate of the two methods with biopsy was 100%. Conclusions Hysteroscopy is more sensitive and accurate than vaginal ultrasound, and both methods can effectively diagnose submucosal fibroids.