闵波

【摘要】 目的：探讨宫腔镜联合经阴道超声在子宫内膜病变中的诊断价值。方法：随机抽取2016年1月-2017年12月笔者所在医院收治的200例疑似子宫内膜病变患者，均给予宫腔镜、经阴道超声检查，以病理学检查结果为金标准，对比分析检查结果。结果：宫腔镜联合经阴道超声检查准确度、灵敏度均高于宫腔镜，差异均有统计学意义（P<0.05），两组特异度比较差异无统计学意义（P>0.05）;宫腔镜联合经阴道超声对不同子宫内膜病变检出准确率均高于宫腔镜，差异均有统计学意义（P<0.05）。结论：宫腔镜联合经阴道超声在子宫内膜病变中的诊断价值显著，可提升准确度、灵敏度，以便临床明确疾病，值得推廣。

【关键词】 宫腔镜 经阴道超声 子宫内膜病变

doi：10.14033/j.cnki.cfmr.2020.19.032 文献标识码 B 文章编号 1674-6805（2020）19-00-03

Diagnostic Value of Hysteroscopy Combined with Transvaginal Ultrasound in Endometrial Lesions/MIN Bo. //Chinese and Foreign Medical Research， 2020， 18（19）： -82

[Abstract] Objective： To explore the diagnostic value of hysteroscopy combined with transvaginal ultrasound in endometrial lesions. Method： A total of 200 suspected endometrial lesions were randomly selected from January 2016 to December 2017. All patients were examined by hysteroscopy and transvaginal ultrasound. The pathological results were taken as the gold standard and the results were compared and analyzed. Result： The accuracy and sensitivity of hysteroscopy combined with transvaginal ultrasound were higher than those of hysteroscopy， the differences were statistically significant （P<0.05）， while there was no statistically significant difference in the specificity between the two groups （P>0.05）. The accuracy of hysteroscopy combined with transvaginal ultrasound in detecting different endometrial lesions was higher than that of hysteroscopy， the difference was statistically significant （P<0.05）. Conclusion： Hysteroscopy combined with transvaginal ultrasound in the diagnosis of endometrial lesions has significant value， which can improve the accuracy and sensitivity， so that the clinical diagnosis of the disease is clear and worthy of promotion.

[Key words] Hysteroscopy Transvaginal ultrasound Endometrial lesions

First-authors address： Nanchong Central Hospital， Nanchong 637000， China

子宫内膜病变是妇科常见疾病，临床症状多为白带增多、经期延长及不孕不育等，对患者身心健康造成严重影响[1]。既往检查以诊断性刮宫作为金标准，但该方法易将局限性病灶遗漏，有报道显示，诊断性刮宫漏刮率为10%～30%，同时具有一定假阴性率[2]。经阴道超声探头距阴道穹隆及宫颈较近，能够减少干扰，同时图像清晰，能够对子宫内膜病变及周边关系等清晰显示，方便临床检查[3]。宫腔镜可直视宫腔，对病变大小、形态等疾病信息清晰显示，可避免误诊及漏诊，提升诊断准确率。本次研究中，为进一步分析宫腔镜联合经阴道超声的临床应用价值，给予200例疑似患者不同诊断方案，对比分析结果，现报道如下。

1 资料与方法

1.1 一般资料

随机抽取2016年1月-2017年12月笔者所在医院收治的200例疑似子宫内膜病变患者。纳入标准：依从性较好，均有相关的临床症状;配合度较好，无合并其他严重器质性疾病。……