中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
783-784,793
,共3页
超声检查%宫腔镜检查%子宫内膜病变%诊断价值
超聲檢查%宮腔鏡檢查%子宮內膜病變%診斷價值
초성검사%궁강경검사%자궁내막병변%진단개치
ultrasonography%hysteroscopy%endometrial lesions%diagnostic value
目的 比较超声检查和宫腔镜检查对子宫内膜病变的诊断价值. 方法 分别采用超声和宫腔镜对浙江省台州市玉环县人民医院2012年3月至2014年3月收治的137例疑似子宫内膜病变患者进行检查,并以病理学检查结果为"金标准"比较两组的诊断价值. 结果 137例疑似子宫内膜病变的患者经病理学检查发现,共128例(93.43%)患者被证实为子宫内膜病变,其中子宫粘膜下肌瘤19 例(14.84%),子宫内膜增生33 例(25.78%),子宫内膜息肉25 例(19.53%),子宫内膜癌14 例(10.94%),慢性非特异性子宫内膜炎37例(28.91%). 超声检查和宫腔镜检查对子宫粘膜下肌瘤、子宫内膜癌的诊断准确率比较,差异无统计学意义(χ2 值分别为0.792、0.000,均P>0.05),宫腔镜检查对子宫内膜增生、子宫内膜息肉及慢性非特异性子宫内膜炎的诊断准确率显著高于超声诊断(χ2 值分别为4.694、5.357、4.385,均P<0.05). 两种检查方式对子宫内膜病变诊断的灵敏度、阳性预测值比较,差异无统计学意义(χ2 值分别为3.295、0.532,均P>0.05),宫腔镜检查的特异性、阴性预测值、准确性均显著高于超声检查结果(χ2 值分别为12.068、5.063、9.408,均P<0.05). 结论 宫腔镜检查诊断子宫内膜病变具有特异性好、准确性高的特点,但超声检查诊断子宫内膜病变简单、无创,两者结合是临床诊断子宫内膜病变最佳的手段.
目的 比較超聲檢查和宮腔鏡檢查對子宮內膜病變的診斷價值. 方法 分彆採用超聲和宮腔鏡對浙江省檯州市玉環縣人民醫院2012年3月至2014年3月收治的137例疑似子宮內膜病變患者進行檢查,併以病理學檢查結果為"金標準"比較兩組的診斷價值. 結果 137例疑似子宮內膜病變的患者經病理學檢查髮現,共128例(93.43%)患者被證實為子宮內膜病變,其中子宮粘膜下肌瘤19 例(14.84%),子宮內膜增生33 例(25.78%),子宮內膜息肉25 例(19.53%),子宮內膜癌14 例(10.94%),慢性非特異性子宮內膜炎37例(28.91%). 超聲檢查和宮腔鏡檢查對子宮粘膜下肌瘤、子宮內膜癌的診斷準確率比較,差異無統計學意義(χ2 值分彆為0.792、0.000,均P>0.05),宮腔鏡檢查對子宮內膜增生、子宮內膜息肉及慢性非特異性子宮內膜炎的診斷準確率顯著高于超聲診斷(χ2 值分彆為4.694、5.357、4.385,均P<0.05). 兩種檢查方式對子宮內膜病變診斷的靈敏度、暘性預測值比較,差異無統計學意義(χ2 值分彆為3.295、0.532,均P>0.05),宮腔鏡檢查的特異性、陰性預測值、準確性均顯著高于超聲檢查結果(χ2 值分彆為12.068、5.063、9.408,均P<0.05). 結論 宮腔鏡檢查診斷子宮內膜病變具有特異性好、準確性高的特點,但超聲檢查診斷子宮內膜病變簡單、無創,兩者結閤是臨床診斷子宮內膜病變最佳的手段.
목적 비교초성검사화궁강경검사대자궁내막병변적진단개치. 방법 분별채용초성화궁강경대절강성태주시옥배현인민의원2012년3월지2014년3월수치적137례의사자궁내막병변환자진행검사,병이병이학검사결과위"금표준"비교량조적진단개치. 결과 137례의사자궁내막병변적환자경병이학검사발현,공128례(93.43%)환자피증실위자궁내막병변,기중자궁점막하기류19 례(14.84%),자궁내막증생33 례(25.78%),자궁내막식육25 례(19.53%),자궁내막암14 례(10.94%),만성비특이성자궁내막염37례(28.91%). 초성검사화궁강경검사대자궁점막하기류、자궁내막암적진단준학솔비교,차이무통계학의의(χ2 치분별위0.792、0.000,균P>0.05),궁강경검사대자궁내막증생、자궁내막식육급만성비특이성자궁내막염적진단준학솔현저고우초성진단(χ2 치분별위4.694、5.357、4.385,균P<0.05). 량충검사방식대자궁내막병변진단적령민도、양성예측치비교,차이무통계학의의(χ2 치분별위3.295、0.532,균P>0.05),궁강경검사적특이성、음성예측치、준학성균현저고우초성검사결과(χ2 치분별위12.068、5.063、9.408,균P<0.05). 결론 궁강경검사진단자궁내막병변구유특이성호、준학성고적특점,단초성검사진단자궁내막병변간단、무창,량자결합시림상진단자궁내막병변최가적수단.
Objective To compare the value of ultrasonography and hysteroscopy in the diagnosis of endometrial lesions.Methods A total of 137 patients suspected with endometrial lesions treated in Yuhuan People' s Hospital of Taizhou in Zhejiang Province from March 2012 to March 2014 were examined using ultrasound and hysteroscopy respectively, and the comparison of diagnosis value was launched by "gold standard" of the results of pathologic examination.Results Totally 128 patients ( 93.43%) were confirmed as endometrial lesions, including 19 cases of submucous myoma of uterus (14.84%), 33 cases of endometrial hyperplasia (25.78%), 25 cases of uterine endometrial polyps (19.53%) , 14 cases of endometrial cancer (10.94%) and 37 cases of chronic non-specific endometritis (28.91%) . There was no significant difference in diagnosis accuracy rate for submucous myoma of uterus and endometrial cancer examined by ultrasonography and hysteroscopy (χ2 value was 0.792 and 0.000, respectively, both P>0.05).The accuracy rate of hysteroscopy for endometrial hyperplasia, uterine endometrial polyps and chronic non-specific endometritis was higher than that of ultrasonography, and the difference was significant (χ2 value was 4.694, 5.357 and 4.385, respectively, all P<0.05).The sensitivity and positive predictive value of two methods in diagnosing endometrial lesions was not significantly different (χ2 value was 3.295 and 0.532, respectively, both P>0.05).The specificity, negative predictive value and accuracy examined by hysteroscopy were remarkably higher than those of ultrasonography (χ2 value was 12.068, 5.063 and 9.408, respectively, all P<0.05).Conclusion Hysteroscopy in the diagnosis of endometrial lesions has characteristics of high specificity and accuracy, but ultrasonography is simple and noninvasive.Combining two methods is the best way to diagnose endometrial lesions in clinics.
