阴道超声联合宫腔镜对绝经期子宫内膜病变的诊断价值

Diagnostic value of transvaginal ultrasound combined with hysteroscopy in the diagnosis of endometrial lesions in postmenopausal women

目的:探讨阴超联合宫腔镜对绝经期子宫内膜病变的诊断价值。方法:选取2013年1月至2015年12月因绝经后阴道出血在我院妇产科行阴超联合宫腔镜检查的患者共90例,于宫腔镜下内膜活检,并将检查结果与病理结果进行比较。结果:90例患者结合最后的病理诊断显示超声检查和宫腔镜检查在宫内膜增生、内膜萎缩的诊断符合率上,无显著性差异(P>0.05),在对内膜息肉、粘膜下肌瘤、内膜癌、慢性非特异性子宫内膜炎的诊断符合率上,存在显著性差异(P<0.05)。结论:超声检查具有有效、简便、经济的特点,但漏诊率较高,而宫腔镜检查是一种较为可靠的诊断方法,故诊断绝经期阴道出血使用TVS和宫腔镜联合检验效果好,值得临床推广应用。

Objective:To investigate the diagnostic value of hysteroscopy combined with hysteroscopy in the diagnosis of endometrial lesions in postmenopausal women.Methods:A total of 2013 January to December 2015 due to postmenopausal vaginal bleeding in my courtyard department of gynaecology and obstetrics,transvaginal ultrasound combined with hysteroscopy in patients with a total of 90 cases,in hysteroscopic endometrial biopsy and findings and pathological results were compared.Result:90cases were combined with the final pathological diagnosis showed ultrasonography and hysteroscopy in endometrial hyperplasia and endometrial atrophy diagnostic accordance rate,no significant difference(P > 0.05),in comply with the endometrial polyps,submucous fibroids,endometrial cancer,chronic nonspecific uterine endometrial inflammation diagnosis rate,there is significant difference(P < 0.05).Conclusion:Ultrasonography is an effective,simple and convenient,economic characteristics,but missed a higher rate,and hysteroscopy is a reliable diagnostic method,so diagnosis sever menstrual vaginal bleeding using TVs and hysteroscopy combined examination effect is good,worthy of clinical application.