宫腔镜检查对绝经后妇女子宫内膜病变的诊断价值分析

Diagnostic value of hysteroscopy for endometrial lesions in postmenopausal women

目的:对绝经后妇女子宫内膜病变患者应用宫腔镜检查,分析宫腔镜检查的诊断价值。方法:选择绝经后妇女疑似子宫内膜病变患者,纳入研究例数有50例,纳入时间:2012年9月-2017年9月,对50例绝经后妇女疑似子宫内膜病变患者均行宫腔镜检查,将宫腔镜检查的结果与病理结果进行对比分析,同时分析应用宫腔镜治疗的手术时间、术中出血量。结果:经数据统计学软件分析,宫腔镜诊断子宫内膜病变的敏感度为95.56%,特异度为80.00%,准确性为94.00%,误诊率为20.00%,漏诊率为4.44%;其中,敏感度、特异性、准确性数据均较高,误诊率、漏诊率数据均较低;并且,应用宫腔镜治疗的手术时间(26.33±5.66)min、术中出血量分别为(30.56±10.66)mL。结论:对绝经后妇女子宫内膜病变患者应用宫腔镜诊治的应用效果显著,可对子宫内膜的内部形态进行观察,可有效治疗子宫内膜病变。

Objective:To explore the diagnostic value of hysteroscopy for endometrial lesions in postmenopausal women.Methods:50 cases of patients with suspected endometrial lesions in postmenopausal women from September 2012 to September 2017 were selected for hysteroscopy examination.The results of hysteroscopy were compared with pathological results,and the operation time and intraoperative blood loss were analyzed.Results:After data statistics software analysis,the sensitivity,specificity,accuracy and misdiagnosis rate of hysteroscopy for endometrial lesions was 95.56%,80.00%,20.00%and 4.44%respectively.Among them,the data of sensitivity,specificity and accuracy were high,and the data of misdiagnosis rate and missed diagnosis rate were low.Furthermore,the operative time was(26.33±5.66)min and intraoperative blood loss was(30.56±10.66)ml.Conclusion:The application of hysteroscopy in postmenopausal women with endometriosis was significant,and the internal morphology of endometrium could be observed,which could effectively treat endometriosis.