阴道超声与宫腔镜对绝经后异常子宫出血的诊断价值

发布时间：2018-01-02 14:09

本文关键词：阴道超声与宫腔镜对绝经后异常子宫出血的诊断价值　出处：《中国当代医药》2017年06期 　论文类型：期刊论文

【摘要】：目的探讨阴道超声与宫腔镜对绝经后异常子宫出血的诊断价值。方法选择2014年9月~2016年5月我院收治的120例绝经期子宫异常出血患者,比较阴道超声、宫腔镜以及两者联合对绝经后异常子宫出血的诊断灵敏度、特异度以及正确率。结果经阴道超声检查对子宫异常出血检查的灵敏度为84.00%,特异度为90.00%,正确率为87.50%;宫腔镜检查子宫异常出血的灵敏度为86.00%,特异度为87.14%,正确率为86.67%;联合方法检查子宫异常出血的灵敏度为98.00%,特异度为97.14%,正确率为97.50%;联合检查的灵敏度、特异度以及正确率均显著高于经阴道超声和宫腔镜单一检查,差异有统计学意义(P0.05)。结论阴道超声检查和宫腔镜检查对绝经后子宫出血的灵敏度、特异度以及正确率均较高,两者差别不大,同时两者存在着互补关系,两者联合检查能够对临床提供影像学和形态学图像依据,在临床上有着较高的应用价值。
[Abstract]:Objective to investigate the diagnostic value of transvaginal sonography and hysteroscopy on abnormal uterine bleeding after menopause. Methods 120 cases of postmenopausal uterine September 2014 ~2016 year in May in our hospital patients with abnormal bleeding, comparison of transvaginal ultrasound, hysteroscopy and the diagnostic sensitivity of abnormal uterine bleeding after menopause, specificity and accuracy. The results of transvaginal ultrasound examination in abnormal uterine bleeding examination sensitivity was 84%, specificity was 90%, the accuracy rate is 87.50%; the sensitivity of hysteroscopy for abnormal uterine bleeding was 86%, the specificity was 87.14%, the accuracy rate is 86.67%; the sensitivity method in diagnosing abnormal uterine bleeding was 98%, the specificity was 97.14%, the accuracy rate is 97.50%; the sensitivity of the joint inspection specificity, and accuracy were significantly higher than that of transvaginal ultrasound and hysteroscopy single examination, the difference was statistically significant (P0.05). Conclusion transvaginal ultrasound Check and hysteroscopy in diagnosis of postmenopausal uterine bleeding sensitivity, specificity and accuracy were higher, the difference is small, and there are two complementary relationship, the two joint inspection to provide clinical imaging and image morphological basis, has higher application value in clinic.

【作者单位】：沈阳市妇婴医院超声科;
【分类号】：R711.52;R445.1
【正文快照】： 绝经后异常子宫出血属于妇产科中较为常见的临床症状之一,相关报道显示,临床症状以异常子宫出血为主的患者占妇产科患者的29.3%,其中绝经期妇女的发生率高达70%以上[1]。卵巢功能衰退主要是由患者绝经期内的各种代谢变化导致[2]。子宫异常出血的常规检查手段为诊断性刮宫检查

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