宫腔镜检查在绝经后阴道流血妇女中子宫内膜癌的诊断价值分析

Diagnostic Value of Hysteroscopy for Endometrial Cancer in Postmenopausal Women with Vaginal Bleeding

目的研究宫腔镜检查在绝经后阴道流血妇女中子宫内膜癌的诊断价值。方法选取2021年1月—2022年3月在苏州市吴中人民医院收治的绝经后阴道流血妇女中疑似子宫内膜癌患者共计52例,对患者进行宫腔镜检查,所有患者入院后均经冷冻宫颈组织切片病理学确诊,以此为“金标准”,评估宫腔镜检查准确度、灵敏度与特异度。结果在宫腔镜检查中,共检出宫颈浸润41例,11例无宫颈浸润。宫腔镜检查灵敏度95.23%、特异度90.00%、准确率94.23%。宫腔镜检查原位癌、Ⅰ期、Ⅱ期、Ⅲ期、Ⅳ期符合率分别为100.00%、95.00%、100.00%,80.00%、100.00%。结论宫腔镜检查在绝经后阴道流血妇女中子宫内膜癌诊断中的诊断效能显著,具有较高的灵敏度、特异度和准确率。

Objective To investigate the diagnostic value of hysteroscopy for endometrial cancer in postmenopausal women with vaginal bleeding.Methods A total of 52 suspected endometrial cancer patients among postmenopausal women with vaginal bleeding admitted to Wuzhong People's Hospital in Suzhou from January 2021 to March 2022 were selected for hysteroscopy examination.All patients were diagnosed with frozen cervical tissue biopsy pathology after admission,using this as the"gold standard"to evaluate the accuracy,sensitivity,and specificity of hysteroscopy examination.Results In the hysteroscopy examination,a total of 41 cases of cervical infiltration were detected,and 11 cases had no cervical infiltration.Hysteroscopy has a sensitivity of 95.23%,a specificity of 90.00%,and an accuracy of 94.23%.The coincidence rates of hysteroscopy for in situ cancer,stage I,stage II,stage III,and stage IV were 100.00%,95.00%,100.00%,80.00%,and 100.00%,respectively.Conclusion Hysteroscopy has significant diagnostic efficacy in the diagnosis of endometrial cancer in postmenopausal women with vaginal bleeding,with high sensitivity,specificity and accuracy.