妇科超声检查诊断绝经后阴道出血的临床价值分析

Analysis of Clinical Value of Ultrasound Examination in Diagnosis of Vaginal Bleeding after the Menopause in the Department of Gynecology

目的研究妇科超声检查诊断绝经后阴道出血的临床价值。方法该次研究方便选取的研究对象为2015年1月—2017年1月期间在该院进行治疗的绝经后阴道出血患者,50例患者均接受妇科超声检查,将其结果与病理检查结果进行对照。结果妇科超声检查的病理类型检出率(94.00%)同病理诊断检查结果进行比较,差异无统计学意义(P>0.08),子宫内膜炎、子宫内膜癌、子宫内膜增生、子宫内膜息肉、萎缩性子宫内膜的诊断符合率(90.91%、100.00%、94.12%、83.33%、100.00%)均较高(χ2=0.06、0.01、0.05、0.10、0.01,P=0.80、1.00、0.83、0.75、1.00)。结论绝经后阴道出血应用妇科超声检查的诊断价值高。

Objective To research the clinical value of ultrasound examination in diagnosis of vaginal bleeding after the menopause in the department of gynecology. Methods 50 cases of patients with vaginal bleeding after menopause treated in our hospital from January, 2015 to January 2017 were conveniently selected for ultrasound examination in the department of gynecology, and the results were compared with the pathological examination results. Results The test rate of pathological types of ultrasound examination in the department of gynecology was 94.00%, and the difference was not statistically significant compared with the pathological examination（P〈0.08）, and the diagnosis coincidence rates of endometritis, endometrial carcinoma, endometrium hyperplasia, endometrium polyp, atrophic endometrium were respectively 90.91%, 100.00%,94.12%, 83.33%, 100.00%（χ2=0.06, 0.01, 0.05, 0.10, 0.01, P=0.80, 1.00, 0.83, 0.75, 1.00）. Conclusion The value of ultrasound examination in diagnosis of vaginal bleeding after the menopause in the department of gynecology is high.