【摘要】 目的探讨宫腔镜联合B超在子宫内膜息肉诊断中的应用价值。方法选取莱芜市人民医院2010年4月至2013年6月收治的因子宫异常出血就诊患者120例,分别采用B超检查、宫腔镜检查,对宫腔镜检查诊断为子宫内膜息肉的32例患者采取宫腔镜子宫内膜息肉电切术并进行病理检查,将术前B超及宫腔镜检查结果与术后病理结果进行比较。结果 B超检查、宫腔镜检查、宫腔镜联合B超检查的灵敏度分别为40.0%、90.0%、96.67%,特异度分别为91.11%、94.44%、97.78%,漏诊率分别为60.0%、10.0%、3.33%,误诊率分别为8.89%、5.56%、2.22%,Kappa值分别为0.674、0.867、0.934(P<0.05)。结论对子宫内膜息肉患者,术前宫腔镜检查较B超检查的准确率高,B超联合宫腔镜检查对术前诊断具有更高的临床价值。更多还原

【Abstract】 Objective To explore the application value of hysteroscopy combined with B ultrasound in diagnosis of endometrial polyps. Methods 120 patients admitted in Laiwu people’s hospital、hospital for abnormal uterine bleeding from 2010 April to 2013 June were selected,all cases were examined by B ultrasound and hysteroscopy,32 cases were diagnosed as endometrial polyps by hysteroscopy were taken hysteroscopic endometrial polypectomy and pathological examination,the preoperative B ultrasound and hysteroscopy results were compared with pathological results. Results The sensitivity of B ultrasound,hysteroscopy,hysteroscopy combined with B ultrasound were 40. 0 %,90. 0 %,96. 67 % respectively,the specificity of three methods were 91. 11 %,94. 44%,97. 78 % respectively,the rate of missed diagnosis of three methods were 60. 0 %,10. 0 %,3. 33 % respectively,the misdiagnosis rate of three methods were 8. 89 %,5. 56 %,2. 22 % respectively,the Kappa value of three methods were 0. 674,0. 867,0. 934 respectively( P < 0. 05). Conclusion For patients with endometrial polyps,the diagnostic accuracy rate of hysteroscopy is higher than B ultrasound,while hysteroscopy combined with B ultrasound has higher clinical value for preoperative diagnosis.更多还原