摘要
Abstract
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.关键词
超声检查/宫腔镜检查/子宫内膜病变/诊断价值Key words
ultrasonography/hysteroscopy/endometrial lesions/diagnostic value分类
医药卫生
