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目的:对比分析超声、诊刮与宫腔镜诊断子宫内膜息肉的准确性及可行性。方法:将超声诊断为子宫内膜息肉的患者随机分为诊刮组(95例)和宫腔镜组(95例),均行病理检查,将病理结果与超声、诊刮、宫腔镜检查进行对比分析。结果:超声诊断子宫内膜息肉的符合率为52.63%,诊刮病理的符合率为73.08%,宫腔镜病理的符合率为92.54%。诊刮诊断子宫内膜息肉的敏感度、特异性、假阴性和假阳性率分别为86.36%、72.54%、13.64%和27.45%,宫腔镜诊断分别为:95.38%、83.33%、4.65%和16.67%。结论:超声是无创检查,方便、快捷,可作为子宫内膜息肉术前筛查、术后随访的手段,但漏诊率高;诊刮作为传统检查获取内膜的方法,因其操作相对盲目,可能漏诊;宫腔镜检查更准确、直观、全面、安全,是目前确诊子宫内膜息肉的首选检查方法。
Objective: To compare and analyze the accuracy and feasibility of ultrasound, curettage and hysteroscopy in the diagnosis of endometrial polyps. Methods: The patients with endometrial polyps diagnosed by ultrasound were randomly divided into the curettage group (95 cases) and the hysteroscopy group (95 cases). All patients underwent pathological examination. The pathological findings were compared with those of ultrasound, curettage, hysteroscopy For comparative analysis. Results: The coincidence rate of ultrasound diagnosis of endometrial polyps was 52.63%, the coincidence rate of curettage pathology was 73.08%, and the coincidence rate of hysteroscopy pathology was 92.54%. The sensitivity, specificity, false negative rate and false positive rate of diagnosis and diagnosis of endometrial polyps were 86.36%, 72.54%, 13.64% and 27.45% respectively. The diagnosis of hysteroscopy were 95.38%, 83.33%, 4.65% and 16.67%. Conclusion: Ultrasound is a noninvasive examination, which is convenient and quick. It can be used as preoperative screening and postoperative follow-up of endometrial polyps, but the rate of misdiagnosis is high. As a traditional method of obtaining endometrium, May misdiagnosis; hysteroscopy more accurate, intuitive, comprehensive, safe, is the preferred method of diagnosis of endometrial polyps check.