论文部分内容阅读
目的 :了解宫腔镜检查在异常子宫出血中的诊断价值。方法 :应用宫腔镜检查异常子宫出血患者 75例 ,并将检查结果与病理诊断结果进行比较。结果 :宫腔镜诊断异常子宫出血的敏感度为 94.1 % ,特异度为 75.0 % ,阴性预测值为 85.7% ,阳性预测值为 88.9%。结论 :宫腔镜检查异常子宫出血 ,可提高对子宫内膜萎缩、慢性炎症、子宫粘膜下肌瘤及子宫内膜息肉的诊断率。尽管对子宫内膜增生过长及子宫内膜癌的敏感性与单纯诊刮相似 ,但可观察到更详细的形态学变化。
Objective: To understand the diagnostic value of hysteroscopy in abnormal uterine bleeding. Methods: Hysteroscopy in patients with abnormal uterine bleeding in 75 cases, and the test results and pathological diagnosis results were compared. Results: The sensitivity and specificity of hysteroscopy in diagnosing abnormal uterine bleeding were 94.1%, 75.0%, 85.7% and 88.9% respectively. Conclusion: Hysteroscopy abnormal uterine bleeding can increase the diagnosis of endometrial atrophy, chronic inflammation, uterine fibroids and endometrial polyps diagnosis. Although the sensitivity to endometrial hyperplasia and endometrial cancer is similar to that of simple curettage, more detailed morphological changes can be observed.