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目的:探讨经阴道超声检查不孕症患者常见宫腔内疾病的发生率准确性。方法:分析300例同时接受阴道超声及宫腔镜检查的不孕症患者常见宫腔内病变,比较2种方法的各项指标。结果:所占比例最高的宫腔内病变为子宫内膜息肉,其次为宫腔粘连、宫腔畸形,最低的是子宫内膜结核;对各种常见宫腔内病变的诊断,2种检查方法符合率比较无统计学差异(P>0.05)。结论:阴道超声在诊断不孕症患者中最常见的宫腔内病变是子宫内膜息肉、宫腔粘连、宫腔畸形,黏膜下肌瘤、内膜结核较少见;子宫内膜息肉、宫腔粘连中各项指标均高,最有利于开展临床工作;对诊断子宫异常增生、慢性非特异性子宫内膜炎,宫腔镜可以定位取材,明显优于阴道超声。
Objective: To investigate the accuracy of transvaginal ultrasonography in detecting the prevalence of intrauterine diseases in infertility patients. Methods: To analyze the common intrauterine lesions in 300 infertile patients who underwent both vaginal ultrasound and hysteroscopy. The indexes of the two methods were compared. Results: The highest proportion of intrauterine lesions of endometrial polyps, followed by intrauterine adhesions, intrauterine malformations, the lowest endometrial tuberculosis; a variety of common intrauterine lesions, two kinds of examination methods The coincidence rate showed no significant difference (P> 0.05). Conclusion: The most common intrauterine lesions in infertility diagnosis are endometrial polyps, intrauterine adhesions, uterine cavity malformations, submucosal fibroids and endometrial tuberculosis. The endometrial polyps, The indicators of intraluminal adhesions were high, the most conducive to carry out clinical work; diagnosis of uterine anomalies, chronic nonspecific endometritis, hysteroscopy can locate the material, significantly better than the vaginal ultrasound.