宫腔镜结合宫腔超声诊治子宫黏膜下肌瘤的临床研究

目的探讨宫腔镜联合宫腔超声及造影术诊治和评估子宫黏膜下肌瘤病变中的临床价值。方法采用医院的病例—对照研究方法,选取子宫黏膜下肌瘤患者30例,观察其在宫腔超声及造影术声像图、宫腔镜下表现、手术后病理组织学诊断。结果宫腔超声及造影术敏感率86.7%,术后病理诊断准确率53.3%;宫腔镜敏感率90.0%,术后病理诊断准确率83.3%,2种方法诊断子宫黏膜下肌瘤敏感率比较差异无统计学意义(P>0.05),准确率比较差异有统计学意义(P<0.05)。结论宫腔镜技术可提高子宫黏膜下肌瘤检查的准确性。

The clinical study of hysteroscopy and sonohysterography in the diagnosis and treatment of submucous myoma of uterus

Objective To discuss the clinical value of hysteroscopy and sonohysterography in the diagnosis and treat- ment and evaluating submucous myoma of uterus. Methods By using control study method,30 cases of patients with submu- cous myoma of uterus were selected. All cases were observed in the hysteroscopy and sonohysterography respectively,then they were confirmed through histopathologic examination. Results The sensitive rate of sonohysterography was 86.7%, and the ac- curacy rate was 53.3% through histopathologic examination;the sensitive rate of hysteroscopy was 90.0%, and the accuracy rate was 83.3% ,and there was no significant difference of sensitive rate between 2 group（ P 〉 0.05 ） , there was significant difference of accuracy rate between 2 group （P 〈 0.05） . Coneluslon Hysteroscopy is an easy, accurate technique for detec- ting submucous myoma,which can increase the accuracy rate of diagnosis and treatment.