宫腔镜诊治子宫内膜息肉122例临床分析

Analysis of 122 Endometrial Polyps Diagnosed by Hysteroscopy

目的探讨宫腔镜及阴道彩超在子宫内膜息肉中的诊断价值。方法回顾性分析2010年1～12月122例经宫腔镜及病理检查诊断为子宫内膜息肉患者的临床资料。41.8%的患者表现为异常阴道出血或绝经后出血。结果阴道超声诊断子宫内膜息肉的敏感性为98.4%(120/122),特异性为3.8%(20/525)。宫腔镜诊断子宫内膜息肉118例,敏感性为96.7%(118/122),特异性为98.9%(519/525),其中合并子宫内膜非典型增生3例。结论阴道B超诊断子宫内膜息肉的敏感性高,但特异性低,宫腔镜检查在不降低敏感性的同时可以明显提高特异性,病理检查是诊断子宫内膜息肉的金标准。

Objective To investigate the efficacy of transvaginal Doppler sonography and hysteroscopy in the diagnosis and treatment of endometrial polyps. Methods Retrospective analysis was made in a total of 122 patients who were diagnosed as endometrial polyps by hysteroscopy and pathology from January to December 2010.Abnormal or postmenopausal vaginal bleeding were complained by 41.8% of the patients.Results The sensitivity and specificity for the diagnosis of endometrial polyps by transvaginal Doppler sonography was 98.4%（120/122） and 3.8%（20/525）,respectively.And those for hysteroscopy was 96.7%（118/122） and 98.9%（519/525） respectively.Three cases of atypical endometrial hyperplasia were found in our series. ConclusionsTransvaginal Doppler sonography has high sensitivity and low specificity for endometrial polyps,hysteroscopy has the same sensitivity but much higher specificity then transvaginal Doppler sonography.Pathology is the golden criterion for the diagnosis of endometrial polyps.