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目的:探讨对比经阴道超声(TVS)、宫腔镜检查对子宫内膜息肉的诊断价值。方法:回顾分析2008年12月~2009年11月在该院就诊,以阴道超声及宫腔镜检查,临床可疑子宫内膜息肉共102例,全部病例均先行阴道超声检查,再行宫腔镜检查,并行诊断性刮宫做病理检查,并以手术后病理诊断为标准。比较阴道超声与宫腔镜下的诊断符合率及宫腔镜与诊刮病理检查的符合率。评价和探讨阴道超声与宫腔镜检查对子宫内膜息肉的诊断价值。结果:阴道超声诊断为子宫内膜息肉91例,宫腔镜下诊断为子宫内膜息肉67例,最后病检确诊54例。经阴道超声与宫腔镜检查结果的比较,P<0.05,两种方法符合率比较有统计学差异。宫腔镜下诊断为子宫内膜息肉与病理结果诊断为子宫内膜息肉比较,P>0.05,宫腔镜检查对子宫内膜息肉的确诊率高于阴道超声。结论:宫腔镜检查与病理诊断的符合率接近75%,且宫腔镜检查操作简单,时间短、不良反应发生少,患者易接受。
Objective: To compare the value of transvaginal sonography (TVS) and hysteroscopy in the diagnosis of endometrial polyps. Methods: A retrospective analysis of December 2008 ~ November 2009 in the hospital treatment, vaginal ultrasound and hysteroscopy, clinical suspicious of endometrial polyps in 102 cases, all cases were first vaginal ultrasound, and then hysteroscopy , Parallel diagnostic curettage to do pathological examination, and postoperative pathological diagnosis as the standard. Comparison of vaginal ultrasound and hysteroscopic diagnosis of coincidence rate and hysteroscopy and curettage in line with the rate of pathological examination. To evaluate and explore the value of vaginal ultrasound and hysteroscopy in the diagnosis of endometrial polyps. Results: 91 cases of endometrial polyps diagnosed by vaginal ultrasound, 67 cases of endometrial polyps diagnosed by hysteroscopy and 54 cases confirmed by pathological examination. Transvaginal ultrasound and hysteroscopy compared results, P <0.05, the two methods coincide rate was statistically significant. Hysteroscopic diagnosis of endometrial polyps and pathological diagnosis of endometrial polyps comparison, P> 0.05, hysteroscopy, the diagnosis of endometrial polyps higher than the rate of vaginal ultrasound. Conclusion: The coincidence rate of hysteroscopy and pathological diagnosis is close to 75%, and hysteroscopy is simple, time is short, fewer adverse reactions occur, patients are easy to accept.