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阴道B超和宫腔镜对子宫内膜息肉的临床评估

张默然 沈媛媛 王仪玮 周之洁

中国妇幼健康研究2012,Vol.23Issue(5):673-674,2.
中国妇幼健康研究2012,Vol.23Issue(5):673-674,2.DOI:10.3969/j.issn.1673-5293.2012.05.045

阴道B超和宫腔镜对子宫内膜息肉的临床评估

Clinical assessment of transvaginal B-ultrasonography and hysteroscopy in diagnosis of endometrial polyp

张默然 1沈媛媛 1王仪玮 1周之洁1

作者信息

  • 1. 上海杨思医院妇产科,上海,200126
  • 折叠

摘要

Abstract

Objective To explore the accuracy rate of transvaginal B-ultrasonography and hysteroscopy in diagnosis of endometrial polyp. Methods The clinical data of 178 cases of suspected endometrial polyp was analyzed retrospectively. All of the cases were evaluated by transvaginal B-ultrasonography, hysteroscopy and ( or ) biopsy during hysteroscopy. The pathological examination results were taken as final diagnosis evidence. The diagnosis of transvaginal B-ultrasonography and hysteroscopy was compared with pathological examination. Results The sensitivity, specificity, false negative rate, false positive rate and coincidence rate of transvaginal B-ultrasonography with pathological examination in diagnosing endometrial polyp was 42. 10% , 97. 14% , 57. 89% , 2. 86% and 75. 00% , respectively, while the sensitivity, specificity, false negative rate, false positive rate and coincidence rate of hysteroscopy with pathological examination was 100. 00% , 97. 14% ,0,2. 86% and 90. 48% , respectively. Conclusion Being non-invasive, economic and simple, transvaginal B-ultrasonography can be taken as a screening method of endometrial polyp, but the missed diagnosis rate is relatively high. The hysteroscopy can be used as the best method in diagnosing endometrial polyp because of its higher coincidence rate.

关键词

子宫内膜息肉/宫腔镜/阴道B超/临床价值

Key words

endometrial polyp/hysteroscopy/transvaginal B-ultrasonography/clinical value

分类

医药卫生

引用本文复制引用

张默然,沈媛媛,王仪玮,周之洁..阴道B超和宫腔镜对子宫内膜息肉的临床评估[J].中国妇幼健康研究,2012,23(5):673-674,2.

中国妇幼健康研究

OACSTPCD

1673-5293

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