B超检查诊断异常子宫出血病因与病理诊断符合率的临床分析

B-ultrasound Diagnosis of the Cause of Abnormal Uterine Bleeding and Pathological Diagnosis Rate of Clinical Analysis

目的:比较B超、宫腔镜联合B超诊断子宫异常出血与病理诊断结果的符合率,以探讨B超、宫腔镜联合B超在异常子宫出血中的诊断价值。方法:对300名子宫异常出血患者行B超、宫腔镜联合引导B超和病例诊断,比较B超、宫腔镜结果与病理诊断结果的符合率。结果:B超结果与病理诊断符合率为59.00%,宫腔镜联合B超符合率为85.67%。宫腔镜联合B超诊断符合率显著高于B超检查(χ2=12.369,P<0.001)。结论:相比于单纯的运用B超,为了提高子宫异常出血的诊断正确率,宜综合使用B超检查和宫腔镜检查,以更有效的判断是否有子宫异常出血。

Objective :To compare the B‐ultrasound ,B‐ultrasound diagnostic hysteroscopy combined with the patho‐logical diagnosis of abnormal uterine bleeding results in line with rates in order to explore the B‐ultrasound ,B‐diagnos‐tic value of hysteroscopy in abnormal uterine bleeding .Methods :300 patients with abnormal uterine bleeding B‐ultra‐sound ,B‐ultrasound and hysteroscopy to guide the diagnosis of cases ,more B‐ultrasound ,hysteroscopy results in line with the pathological diagnosis rate .Results:B‐ultrasound results with pathological diagnosis rate of 59 .00% ,hysteros‐copy combined with B‐ultrasound coincidence was 85 .67% .B‐ultrasound diagnostic hysteroscopy was significantly higher than the B‐ultrasound (χ2 =12 .369 ,P<0 .001) .Conclusion:Compared to the simple use of B ,abnormal uterine bleeding in order to improve diagnostic accuracy ,should be integrated use of B‐ultrasound and hysteroscopy to deter‐mine whether there is a more effective abnormal uterine bleeding .