宫腔镜在子宫内膜癌及癌前病变中的诊断价值

Value of Hysteroscopy in the Diagnosis of Endometrium Cancer and Atypical Hyperplasia

目的:探讨宫腔镜在子宫内膜癌及癌前病变中的临床诊断价值。方法:选取笔者所在医院妇产科160例子宫内膜病变患者,根据随机分配原则分为观察组和对照组,各80例。观察组采用宫腔镜检查,对照组采用诊断性刮宫检查。观察两种方法对子宫内膜癌及癌前病变的诊断总符合率及各自的特异性、灵敏度及准确性。结果:观察组诊断子宫内膜癌及癌前病变总诊断符合率为95.0%,显著高于对照组的80.0%,差异有统计学意义(字2=6.3361,P=0.0223);宫腔镜诊断子宫内膜癌及癌前病变的特异性、灵敏度和准确性分别为86.8%、94.8%和95.0%,诊断性刮宫诊断子宫内膜癌及癌前病变的特异性、灵敏度和准确性分别为74.3%、78.1%和80.0%,差异有统计学意义(P<0.05)。结论:宫腔镜对子宫内膜癌及癌前病变的诊断准确性高,具有很好的临床推广价值,值得在临床应用。

Objective： To investigate the clinical value of hysteroscopy in the diagnosis of endometrium cancer and atypical hyperplasia. Method： 160 patients with endometrial lesions were chosen, they were randomly divided into obser-vation group and control group, each group included 80 patients, patients in the observation group were examined with hysteroscopy, and patients in the control group choose diagnostic cu^ttage. Result： The overall diagnostic coincidence rate of the patients in observation group was 95.0%, It was significantly higher than that of the control group 80.0%, There was significant difference between them （ X2= 6.336 l, P=0.0223 ） ; The sensitivity, specificity and accuracy of the hysteroscopic diagnosis of endometrial lesions were 94.8%, 86.8% and 95.0%, and 78.1%, 74.3% and 80.0% for the diagnostic curettage, there were statistically significant between them （ P〈0.05 ） .Conclusion： In the diagnosis of endometrial lesions, hysteroscopy has high sensitivity, specificity and accuracy, and has high clinical value.