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目的研究经阴道超声(TVS)与宫腔镜对老年妇女子宫出血的价值。方法 99例老年子宫出血患者,行TVS检查及宫腔镜检查,于宫腔镜下内膜活检,并将检查结果与病理结果进行比较。结果 TVS特异度、敏感度、阴性预测值、阳性预测值、准确度分别为52.38%、98.25%、95.65%、73.68%、78.79%;宫腔镜特异度、敏感度、阴性预测值、阳性预测值、准确度分别为90.48%、100.00%、100.00%、93.44%、95.96%。结论 TVS和宫腔镜敏感性均较高,TVS的特异性低于宫腔镜,诊断老年妇女子宫出血使用TVS和宫腔镜联合检验效果好,值得临床推广应用。
Objective To investigate the value of transvaginal sonography (TVS) and hysteroscopy in the treatment of uterine bleeding in elderly women. Methods 99 cases of elderly patients with uterine bleeding, line TVS examination and hysteroscopy in hysteroscopic endometrial biopsy, and the test results and pathological results were compared. Results The specificity, sensitivity, negative predictive value, positive predictive value and accuracy of TVS were 52.38%, 98.25%, 95.65%, 73.68% and 78.79% respectively. The specificity, sensitivity, negative predictive value and positive predictive value of hysteroscopy Value and accuracy were 90.48%, 100.00%, 100.00%, 93.44% and 95.96% respectively. Conclusions The sensitivity of TVS and hysteroscopy are high, and the specificity of TVS is lower than that of hysteroscopy. The diagnosis of uterine bleeding in elderly women using TVS and hysteroscopy combined test is effective and worthy of clinical application.