Wongsawaeng Wanpen
Department of Obstetrics and Gynecology, Phramongkutklao Hospital, Bangkok, Thailand.
J Med Assoc Thai. 2005 Nov;88 Suppl 3:S77-81.
To test the diagnostic accuracy of sonohysterography and hysteroscopy in detection of endometrial polyps and submucous myomas.
Retrospective review of the fifty six records of the patients with abnormal uterine bleeding who had positive sonohysterography and underwent operative hysteroscopy performed between June 2001 and December 2004. Exclusion of six patients with incomplete records, giving a total of fifty records included in the present study, using pathological reports as a gold standard.
The two most common pathologies were 58% of endometrial polyps and 42% of submucous myomas. The sensitivity, specificity, positive predictive values, negative predictive values and accuracy for diagnosis of endometrial polyps by sonohysterography were 92.59%,72.73%, 80.65%, 88.89% and 83.67% and by hysteroscopy were 93.10%, 84.0%, 87.10%, 91.30% and 88.89% for submucous myomas by sonohysterography were 88.89%, 93.55%, 88.89%, 93.55% and 91.84% by hysteroscope were 90.91%, 87.50%, 83.33%, 93.33% and 88.89% respectively.
The diagnostic accuracy for endometrial polyps and submucous myomas by sonohysterography are equal to hysteroscopy.
检测子宫声学造影和宫腔镜检查在子宫内膜息肉及黏膜下肌瘤检测中的诊断准确性。
回顾性分析2001年6月至2004年12月期间56例子宫异常出血患者的记录，这些患者子宫声学造影呈阳性且接受了手术宫腔镜检查。排除6例记录不完整的患者，本研究共纳入50例记录，以病理报告作为金标准。
两种最常见的病变为58%的子宫内膜息肉和42%的黏膜下肌瘤。子宫声学造影诊断子宫内膜息肉的敏感性、特异性、阳性预测值、阴性预测值及准确性分别为92.59%、72.73%、80.65%、88.89%和83.67%；宫腔镜检查分别为93.10%、84.0%、87.10%、91.30%和88.89%。子宫声学造影诊断黏膜下肌瘤的敏感性、特异性、阳性预测值、阴性预测值及准确性分别为88.89%、93.55%、88.89%、93.55%和91.84%；宫腔镜检查分别为90.91%、87.50%、83.33%、93.33%和88.89%。
子宫声学造影对子宫内膜息肉和黏膜下肌瘤的诊断准确性与宫腔镜检查相当。
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