宫腔镜检查在诊断子宫内膜息肉中的价值分析

Explore the Importance of Hysteroscopy in the Diagnosis of Endometrial Polyps

通过比较超声、宫腔镜检查与病理诊断子宫内膜息肉的结果,以及超声诊断结果阴性的病例中,宫腔镜与病理诊断的差异检出率,探讨宫腔镜检查对正确诊断子宫内膜息肉的重要性。回顾性收集连续在我院妇科行宫腔镜检查且证实子宫内膜息肉诊断的住院患者共730例。总结各病例超声诊断、宫腔镜检查及病理诊断的结果。统计分析显示,三者诊断子宫内膜息肉的检出率分别为82.7%、93.4%、90.8%。其中,由超声检查漏诊的子宫内膜息肉患者共126例,宫腔镜及病理检出率分别为96.8%、88.1%,且两者的阴性结果互不重叠,这种诊断差异在超声诊断结果示内膜增厚/内膜厚薄不均病例中尤为显著。因此,子宫内膜息肉的诊断方式中,宫腔镜诊断检出率最高,但仍有漏诊的病例由病理确诊,研究认为宫腔镜检查是确诊子宫内膜息肉的重要诊断方法。

Retrospectively reviewed a total of 730 inpatients who received hysteroscopy and confirmed diagnosis as endometrial polyps.Compare the sensitivity of the diagnosis for endometrial polyps among transvaginal ultrasound,hysteroscopy and pathological diagnosis,and the detection rate between hysteroscopy and pathological diagnosis among the negative specimens examined by transvaginal ultrasound to explore the importance of hysteroscopy in the diagnosis of endometrial polyps.Through the statistical analysis,the detection rate by these three kinds of diagnostic methods were 82.7％,93.4％,90.8％ respectively,and among the 126 negative specimens examined by transvaginal ultrasound,the rate of hysteroscopy was 96.8％ and of pathological diagnosis was 88.1％,and the negative result by one diagnostic method does not overlap another.The difference of diagnosis is significant in cases diagnosed as endometrial thickening or uneven by transvaginal ultrasound.Therefore,hysteroscopy is the most sensitive diagnostic method,but there were still missing cases confirmed by pathology.So hysteroscopy is an important method in the diagnosis of endometrial polyps.