阴道超声和宫腔镜联合诊断宫腔赘生物的临床价值

目的探讨阴道超声和宫腔镜联合诊断宫腔赘生物的临床价值。方法回顾分析684例在我院进行过阴道超声和宫腔镜两种检查的患者,比较分析两种检查方法的优缺点。结果阴道超声检查宫腔赘生物的敏感性为94．17％,特异性为70．83％;宫腔镜检查宫腔赘生物的敏感性为100％,特异性为95．83％。阴道超声检查阳性的病例,宫腔镜检查的阳性率为78．76％;而阴道超声检查阴性的病例,宫腔镜检查的阳性率仅1．23％。二者的差异有显著性意义。结论阴道超声联合宫腔镜检查是目前诊断宫腔赘生物较理想的方法。

The clinic value of transvaginal sonography accompanying with hysteroscope to diagnosing neoplasm in uterine cavity

Objective To discuss the clinic value of transvaginal sonography (TVS) associated with hysteroscope(HS) to diagnose neoplasm in uterine cavity. Methods To review 684 cases by both TVS and HS in our hospital, and compare the strongpoint and shortcoming of such two ways. Results The sensitivity of TVS in diagnosing neoplasm in uterine cavity is 94.17%.the unusual rate is 70.83%. Sensitivity of HS in diagnosing neoplasm in uterine cavity is 100%, unusual rate is 95.83%. In these cases that behave positive in TVS, 78.76% will also behave positive in HS; however, in these cases that behave negative in TVS the ratio of positive in two other is only 1.23%. The result make sense distinctly. The sensitivity of TVS in clinic is high and easy to operate but unusual rate is lower. In the other way, HS has high sensitivity and high unusual rate but complexer in operation. Conclusion To unite TVS and HS, we may improve veracity in diagnosing neoplasm in uterine cavity,it seems that this method is reasonable presently.