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[超声宫腔镜检查——绝经后出血女性子宫腔检查的新方法]

[Ultrasonographic hysteroscopy--new approach for the investigation of the uterine cavity in women with postmenopausal bleeding].

作者信息

Malinova M

出版信息

Akush Ginekol (Sofiia). 1999;38(1):36-8.

PMID:11965719
Abstract

PURPOSE

To assess the value of Transvaginal sonohysterography (SHG) in the detection of endometrial pathology in patients with postmenopausal uterine bleeding, without visualization of the endometrial on the Transvaginal ultrasonography (TVS).

STUDY DESIGN

Sixty postmenopausal patients with abnormal uterine bleeding, without sonographic visualization of the endometrium on the Transvaginal ultrasonography underwent sonohysterography, diagnostic hysteroscopy and curettage.

RESULTS

After comparing the hysteroscopic and sonohysterographic results, Sonohysterography showed a sensitivity of 100%, specificity of 94, accuracy of 95%, positive predictive value of 85% and negative predictive value of 100%. Hysteroscopy showed a sensitivity of 85%, specificity of 100%, accuracy of 95%, positive predictive value of 100% and negative predictive value of 94%.

CONCLUSION

Transvaginal Sonohysterography is an easy, save and the most accurate technique for detecting endometrial pathology and endoluminal masses.

摘要

目的

评估经阴道子宫声学造影(SHG)在绝经后子宫出血患者中,经阴道超声检查(TVS)未显示子宫内膜情况下检测子宫内膜病变的价值。

研究设计

60例绝经后子宫异常出血患者,经阴道超声检查未显示子宫内膜,接受了子宫声学造影、诊断性宫腔镜检查和刮宫术。

结果

比较宫腔镜检查和子宫声学造影结果后,子宫声学造影显示敏感性为100%,特异性为94%,准确性为95%,阳性预测值为85%,阴性预测值为100%。宫腔镜检查显示敏感性为85%,特异性为100%,准确性为95%,阳性预测值为100%,阴性预测值为94%。

结论

经阴道子宫声学造影是一种检测子宫内膜病变和腔内肿物的简便、安全且最准确的技术。

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[Ultrasonographic hysteroscopy--new approach for the investigation of the uterine cavity in women with postmenopausal bleeding].[超声宫腔镜检查——绝经后出血女性子宫腔检查的新方法]
Akush Ginekol (Sofiia). 1999;38(1):36-8.
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Comparison of transvaginal ultrasonography and saline infusion sonohysterography in evaluating the endometrial cavity in pre- and postmenopausal women with abnormal uterine bleeding.经阴道超声检查与子宫输卵管声学造影在评估绝经前后异常子宫出血女性子宫内膜腔中的比较
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Transvaginal sonography, sonohysterography, and hysteroscopy for investigation of focal intrauterine lesions in women with recurrent postmenopausal bleeding after dilatation & curettage.经阴道超声检查、超声子宫造影和宫腔镜检查在因刮宫术后反复绝经后出血的患者中用于探查局灶性宫腔内病变。
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Transvaginal ultrasonography sonohysterography and operative hysteroscopy for the evaluation of abnormal uterine bleeding.经阴道超声检查、子宫输卵管超声造影及宫腔镜手术用于评估异常子宫出血。
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Transvaginal sonography and hysteroscopy in postmenopausal bleeding.绝经后出血的经阴道超声检查和宫腔镜检查
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[Accuracy of transvaginal sonography, sonohysterography and hysteroscopy in diagnosis of intrauterine pathology].经阴道超声检查、子宫输卵管声学造影及宫腔镜检查在诊断子宫内病变中的准确性
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Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography and hysteroscopy in postmenopausal bleeding.经阴道超声检查、生理盐水灌注子宫声学造影与宫腔镜检查在绝经后出血中的诊断准确性比较。
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Sonohysterography is superior to transvaginal sonography for the diagnostic approach of irregular uterine bleeding in women of reproductive age.在诊断育龄期女性不规则子宫出血方面,子宫超声造影优于经阴道超声检查。
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