阴道超声与宫腔镜诊断异常子宫出血病因准确性比较

Comparison of the accuracy of transvaginal ultrasonography and hysteroscopy for diagnosing abnormal uterine bleeding

目的:探究经阴道超声与宫腔镜诊断异常子宫出血病因效果。方法:收集2018年2月-2020年4月本院收治的异常子宫出血患者138例临床资料,均经病理检查确诊,依据检查方式的不同分成组,经阴道超声诊断69例为经阴道超声组,宫腔镜检查诊断69例为宫腔镜组。分析两种诊断方法效果。结果:宫腔镜组诊断准确率(89.9%)高于经阴道超声组(69.6%),漏诊率(8.6%)、误诊率(1.5%)低于经阴道超声组(20.3%、10.1%)(P<0.05);宫腔镜组不同病因及不同类型病灶状态的诊断符合率均高于经阴道超声组(P<0.05)。结论:应用宫腔镜技术对异常子宫出血症状进行诊断可以清晰观察子宫内不同病因、不同病灶状态情况,临床诊断准确率理会更佳。

Objective: To explore the effect of transvaginal ultrasonography and hysteroscopy for diagnosing abnormal uterine bleeding of women. Methods: The clinical data of 138 women with abnormal uterine bleeding from February 2018 to April 2020 were collected. All these women had been diagnosed by pathological results and were divided into 69 cases diagnosed by transvaginal ultrasound in group A and 69 cases diagnosed by hysteroscopy in group B according to different examination methods. The effect of diagnosis by transvaginal ultrasound and hysteroscopy was analyzed. Results: The diagnostic accuracy of the women in group B(89.9%) was significant higher than that(69.6%) of the women in group A, but the rate of missed diagnosis(8.6%) and misdiagnosis(1.5%) of the women in group B were significant lower than those(20.3% and 10.1%) of the women in group A(P<0.05). The diagnostic coincidence rate of the women with different etiology and different types of lesions in group B was significant higher than that of the women in group A(P<0.05). Conclusion: The application of hysteroscopy for diagnosing abnormal uterine bleeding symptoms can clearly identify the different causes and different lesions status, which can improve the accuracy of clinical diagnosis.