经阴道超声及宫腔镜检查在异常子宫出血诊断中的应用价值研究

The value of transvaginal ultrasonography and hysteroseopy in the diagnosis of abnormal uterine bleeding

目的探讨经阴道超声及宫腔镜检查在异常子宫出血（AUB）诊断中的应用价值。方法选择2014年7月至2015年12月就诊于本院的90例AUB患者，所有患者均给予阴道超声检查与宫腔镜检查，以病理学活检为金标准，两种检查方式的应用价值比较。结果宫腔镜检查AUB的敏感度与准确度分别为91．78％、84．44％，均明显高于阴道超声71．23％、71．11％，差异具有统计学意义（P〈0．05）；宫腔镜检测AUB的特异度、预测值及阴性预测值分别为52．94％、89．33％、60．00％，与阴道超声的70．59％、91．23％、36．36％比较，差异无统计学意义（P〉0．05）。结论两种检查方式各有优势，临床应在把握其适应症与禁忌症的情况下，灵活应用，发挥各自优势，提高整体诊断效果。

Objective To investigate the value of transvaginal ultrasonography and hysteroscopy in the diagnosis of abnormal uterine bleeding （AUB）. Methods 90 patients with AUB in our hospital from July 2014 to December 2015 were given transvaginal ultrasonography and hysteroscopy, with pathological biopsy as the gold standard. The application value of two kinds of examination methods were compared. Results The sensitivity and accuracy of hysteroscopy for AUB were 91.78%, 84.44%, significantly higher than those of transvaginal ultrasonography （71.23%, 71.11%）, with statistically significant differences （P〈0.05）. The specificity, positive predictive value, and negative predictive value of hysteroscopy detection for AUB were 52.94%, 89.33%, 60.00%, without statistically significant differences compared with 70.59%, 91.23%, 36.36% of transvaginal ultrasonography （P〉0.05）. Conclusion The two kinds of examination methods have their own advantages, flexible application in grasping the indications and contraindications of the clinical cases, should play their respective advantages, improve the overall effect of diagnosis.