摘要
目的探讨经阴道超声联合宫腔镜检查在子宫内膜疾病诊断中的临床价值,为临床诊治提供参考。方法选择荆门市第二人民医院收治的子宫内膜疾病(UED)患者108例,依据检测方法分对照组54例,仅采用经阴道超声检查,联合组54例采用经阴道超声联合宫腔镜检查,比较两组检查结果与病理诊断的符合率及临床诊断价值。结果联合组在子宫内膜息肉、子宫黏膜下肌瘤、子宫颈管息肉、子宫内膜癌、子宫内膜增生过长及子宫内膜炎的符合率分别为87.50%、100.00%、88.89%、100.00%、88.89%及100.00%,优于对照组(75.00%、67.00%、77.78%、80.00%、77.78%、85.71%),但差异无统计学意义(均P>0.05),而诊断总符合率为92.59%优于对照组的77.78%,差异有统计学意义(χ~2=4.695 7,P<0.05)。联合组在子宫内膜≤4 mm与子宫内膜>4 mm的总良性预测率为90.74%,明显优于对照组的75.92%,差异有统计学意义(χ~2=4.266 7,P<0.05)。联合组的灵敏度94.44%,特异度83.33%,阳性预测率92.59%,阴性预测率90.74%均高于对照组(88.89%、74.07%、85.18%、87.04%),但差异无统计学意义(均P>0.05),而在假阳性率24.07%,假阴性率9.26%均低于对照组(31.48%、12.96%),但差异无统计学意义(均P>0.05);在正确指数81.48%高于对照组的62.96%,差异有统计学意义(χ~2=4.615 4,P<0.05)。结论采用经阴道超声联合宫腔镜检查诊断UED患者,有效发挥了两者的优点,具有较高的诊断价值与诊断率。
Objective To explore the clinical value of transvaginal ultrasonography combined with hysteroscopy in diagnosis of endometrial diseases,provide a reference for clinical diagnosis and treatment of endometrial diseases. Methods A total of 108 patients with endometrial diseases treated in the Second People’s Hospital of Jingmen were selected and divided into two groups according to the detection methods： 54 patients in control group were treated by transvaginal ultrasonography,and 54 patients in combined group were treated by transvaginal ultrasonography combined with hysteroscopy. The coincidence rates of two detection methods and pathological diagnosis,the clinical diagnostic value of the two detection methods in the two groups were compared. Results The coincidence rates of endometrial polyp,submucosal myoma of uterus,cervical polyps,endometrial cancer,endometrial hyperplasia,and endometritis in combined group were 87. 50%,100. 00%,88. 89%,100. 00%,88. 89%,and 100. 00%,respectively,which were better than those in control group(75. 00%,67. 00%,77. 78%,80. 00%,77. 78%,and 85. 71%）,but there was no statistically significant difference(P〉0. 05）. The total coincidence rate of diagnosis in combined group was 92. 59%,which was statistically significantly higher than that in control group(77. 78%）(χ-2= 4. 695 7,P〈0. 05）. The total benign prediction rate of endometrium thickness ≤ 4 mm and endometrium thickness 〉 4 mm in combined group was90. 74%,which was statistically significantly higher than that in control group(75. 92%）(χ-2= 4. 266 7,P〈0. 05）. The sensitivity,specificity,positive predictive value,and negative predictive value in combined group were 94. 44%,83. 33%,92. 59%,and 90. 74%,respectively,which were higher than those in control group(88. 89%,74. 07%,85. 18%,and 87. 04%）,but there was no statistically significant difference(P〉0. 05）. The false positive rate and false negative rate in combined group were 24. 07% and 9. 26%,respectively,which were lower than those in control group(31. 48% and 12. 96%）,but there was no statistically significant difference(P〉0. 05）. The correct index in combined group was 81. 48%,which was statistically significantly higher than that in control group(62. 96%）(χ-2= 4. 615 4,P = 0. 031 7）. Conclusion Transvaginal ultrasonography combined with hysteroscopy can effectively play the advantages of the two detection methods,which has high diagnostic value and diagnostic rate.
作者
王盈
WANG Ying(Department of Ultrasound, the Second People＇s Hospital of Jingmen, Jingmen, Hubei 448000, Chin)
出处
《中国妇幼保健》
CAS
2018年第9期2140-2142,共3页
Maternal and Child Health Care of China
关键词
子宫内膜疾病
阴道超声
宫腔镜
诊断价值
Endometrial disease
Transvaginal ultrasonography
Hysteroscopy
Diagnostic value
