宫腔镜对子宫内膜息肉的诊断价值分析

目的:分析宫腔镜、B超与诊断性刮宫诊断子宫内膜息肉(EP)的准确性,从而分析宫腔镜对EP的诊断价值。方法:分析2002年9月～2004年11月因异常子宫出血行宫腔镜检查的患者845例,其中94例诊断为EP。全部病例在宫腔镜检查前均行B超检查,对宫腔镜诊断为EP的患者均行诊断性刮宫,并对全部患者行宫腔镜下子宫内膜息肉电切术,术后送病理检查。将B超、宫腔镜及诊断性刮宫对EP诊断的阳性率以及与病理诊断EP的符合率进行对比分析。结果:术后病理诊断EP85例,宫腔镜诊断EP与病理诊断EP的符合率为90.43%,阳性率为11.12%,假阳性率为1.18%。B超诊断EP与病理诊断EP的符合率为25.88%,阳性率为3.79%,假阳性率为1.32%。诊断性刮宫诊断EP与病理诊断EP的符合率为0,阳性率为0。结论:宫腔镜检查较B超及诊断性刮宫更准确、直观,是确诊EP更有效的检查方法。

Diagnosis of endometrial polyp by hysteroscopy

Objective:To analyze the diagnosis value of hysteroscopy in endometrial polyp(EP),comparing with diagnostic curettage and ultrasonography diagnosis.Methods:Analyzing 845 hysteroscopy patients of abnormal metrorrhagia from Sep,2002 to Nov,2004,in which 94 patients were diagnosed as EP.For all the cases,ultrasonography had been done before hysteroscopy,diagnostic curettage had been done to all the EP patients,all the patients received endometrium electrosection through hysteroscope,and pathological examination after operation.Then the coincidence between the positive ratio of ultrasonography diagnosis,hysteroscopy,diagnostic curettage and pathological examination in EP's diagnosis were compared.Results:85 patients were diagnosed as EP by the pathological examination,the coincidence ratio of hysteroscopy and pathological examination in diagnosing EP is 90.43%,positive ratio of hysteroscopy diagnosis in EP is 11.12%,false positive ratio is 1.18%.The coincidence ratio of ultrasonography and pathological examination in diagnosing EP is 25.88%,positive ratio is 3.79%,false positive ratio is 1.32%.The coincidence ratio of diagnostic curettage and pathological examination in diagnosing EP is 0,positive ratio is 0.Conclusion:Hysteroscopy diagnosis is accurate and intuitionistic than diagnostic curettage and ultrasonography in EP diagnosis.