经阴道超声及宫腔镜对子宫内膜病变的诊断价值

Transvaginal Sonography and Hysteroscopy in Diagnosing Uterus Endometrial Lesions

目的:探讨经阴道超声表现与宫腔镜检查对子宫内膜病变的诊断价值。材料和方法:对86例临床疑为子宫内膜病变的患者行阴道超声及宫腔镜检查,并行摘除、活检或刮宫,与病理结果对照分析。结果:病理诊断子宫内膜息肉39例,子宫黏膜下肌瘤9例,子宫内膜增生过长14例,子宫黏膜下肌瘤伴息肉4例,子宫内膜癌4例,正常子宫内膜16例,宫腔镜检查与阴道超声检查对各类子宫内膜病变的诊断准确性相当,两者无统计学差异(P>0.05)。结论:阴道超声是筛选子宫内膜病变的简便、经济而有效的方法,宫腔镜下活检是可靠的诊断方法,联合检查是目前诊断子宫内膜病变的理想方法。

Purpose： To discuss the value of transvaginal sonography and hysteroscopy in diagnosing uterus endometrial lesions.Materials and Methods： Transvaginal sonography and hysteroscopy were performed on 86 patients, who were supposed to have endometrial diseases, also explacing, biopsy, diagnostic curettage were performed, and all the results were compared with pathological findings. Results： All patients were verified by pathology, among them, 39 endometrium polyp, 9 submuons myome, 14 hyperplasia of endometrium, 4 submucous myome with polyp4, 4 carcinoma of endometrium, 16 nomal . The coincidence rate of hysteroscopy was almost equal to that of transvaginal sonography , and there was no significant difference between them（P 〉 0.05） . Conclusion： Transvaginal sonography is a simple, economical and effective method to screen out endometrium diseases. Biopsy under hysteroscope is a credible method. Combining the two methods is excellent.