经阴道超声与宫腔镜检查在异常子宫出血诊断中应用分析

Application Analysis of Transvaginal Ultrasound and Hysteroscopy in the Diagnosis of Abnormal Uterine Bleeding

目的:分析异常子宫出血采用经阴道超声与宫腔镜检查的诊断价值。方法:回顾性分析2018年1月~2021年2月在本院40例异常子宫出血患者,分别行经阴道超声与宫腔镜检查,将经阴道超声检查作为对照组,将宫腔镜检查作为观察组,以病理活检结果为金标准,对比子宫疾病诊出率,计算诊断的敏感性和阳性预测值。结果:观察组子宫疾病检出率明显低于对照组(P<0.05),观察组真阳性率均明显高于对照组(P<0.05);观察组诊断敏感性、阳性预测值明显高于对照组(P<0.05)。结论:宫腔镜检查在异常子宫出血诊断中应用效果更好,对子宫疾病的检出率高,敏感性和阳性预测值也更高。

Objective:To explore the value of transvaginal ultrasound and hysteroscopy in the diagnosis of abnormal uterine bleeding.Methods:A retrospective analysis of 40 patients with abnormal uterine bleeding in our hospital from January 2018 to February 2021,all underwent transvaginal ultrasound and hysteroscopy,with transvaginal ultrasound as the control group and hysteroscopy as the observation group,with pathological biopsy results as the gold standard,the diagnostic rate of uterine diseases was compared,and the diagnostic sensitivity and positive predictive value were calculated.Results:The detection rate of uterine diseases in the observation group was significantly lower than that in the control group(P<0.05),and the true positive rate in the observation group was significantly higher than that in the control group(P<0.05);the diagnostic sensitivity and positive predictive value in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Hysteroscopy has better effect in the diagnosis of abnormal uterine bleeding,higher detection rate of uterine diseases,higher sensitivity and positive predictive value.