彩超、宫腔镜、病理对子宫内膜病变诊断价值的研究

Diagnostic value of transvaginal ultrasonography, hysteroscopy and pathology for uterine cavity lesions

目的探讨经阴道彩超、宫腔镜、病理检查对子宫内膜病变的诊断价值。方法对60例可疑子宫内膜病变患者采用阴道彩超检查、诊断性宫腔镜检查及诊刮术,与病理检查结果做对照分析。结果60例病理确诊为功能失调性子宫出血者为49例,子宫黏膜下肌瘤为0例,子宫内膜癌为1例,子宫内膜息肉为10例。阴道彩超诊断子宫内膜增厚为49例,子宫黏膜下肌瘤为8例,子宫内膜癌为0例,子宫内膜息肉为3例。宫腔镜检查诊断功能失调性子宫出血者为43例,子宫黏膜下肌瘤为3例,子宫内膜癌为0例,子宫内膜息肉为14例。结论经阴道彩超是筛选子宫内膜病变的方便、简捷、有效与经济的方法,宫腔镜是可靠的诊断方法,而金标准是子宫内膜病理学检查。

Objective To valuate endometrial pathologic examination and transvaginal color Doppler ultrasonography （TVUS）, diagnostic hysteroscopy （DH） in diagnosis of uterine cavity lesions. Methods 60 patients suspected of uterine cavity lesions were examined with TVUS, DH and biopsy. The results were compared with pathology of biopsy. Results Dysfunctional uterine bleeding （DUB） was found in 49 cases by biopsy, 49 by TVUS and 43 by DH. Subrnucous myoma was diagnosed in 8 cases by TVUS, 3 by DH and none by pathology. Polyp was found in 3 cases by TVUS, 14 by DH and 10 by biopsy. TVUS is convenient, rapid, effective and low - cost in diagnosis of uterine cavity lesions. DH is a reliability method. The gold standard is endometrial biopsy.