宫腔镜在绝经后子宫出血中的诊断价值

Clinical value of Hysteroscopy in the diagnosis of postmenopausal uterine bleeding

目的研究宫腔镜检查在绝经后子宫出血中的诊断价值。方法选取2009年1月至2011年2月于本院进行检查的63例绝经后阴道出血患者为研究对象,对其分别采用阴道超声和宫腔镜进行检查,并将检查结果与手术病理确诊结果进行对比。结果经与最终手术病理检查结果对比发现,宫腔镜检查在各种情况中的确诊率均明显高于经阴道超声检查,差异均有统计学意义(P<0.05)。结论宫腔镜检查在绝经后子宫出血中的诊断价值较高,优于阴道超声检查,可作为绝经后子宫出血补充诊断方法。

Objective To study the diagnostic value of Hysteroscopy in postmenopausal uterine bleeding. Methods Sixty-three patients with postmenopausal uterine bleeding in our hospital from January 2009 to February 2011 were enrolled in this study. All the patients were examined with transvaginal ultrasound and Hysteroseopy. The examination results were compared with pathological results. Results The diagnosis rates ofhysteroscopy under vari- ous conditions were significantly higher than those of vaginal ultrasound, P〈0.05. Conclusion The value ofhysteros- copy in the diagnosis of postmenopausal uterine bleeding is higher than that of transvaginal ultrasound, which can serve as the supplementary diagnosis method for postmenopausal uterine bleeding.