子宫输卵管超声造影与经阴道超声检查用于异常子宫出血患者的筛查
Sonohysterography versus transvaginal sonography for screening of patients with abnormal uterine bleeding.
作者信息
Alborzi S, Parsanezhad M E, Mahmoodian N, Alborzi S, Alborzi M
机构信息
Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
Int J Gynaecol Obstet. 2007 Jan;96(1):20-3. doi: 10.1016/j.ijgo.2006.09.004. Epub 2006 Dec 21.
OBJECTIVES
To compare the accuracy of saline infusion sonohysterography (SIS) with transvaginal sonography (TVS) for the screening of causes of abnormal uterine bleeding (AUB) in out-patients.
METHODS
81 patients with AUB were studied. All cases who were examined with TVS, were further investigated with SIS using saline as contrast medium, finally hysteroscopy was used as the gold standard.
RESULTS
TVS had sensitivity of 72%, specificity of 92%, positive predictive value of 94% and negative predictive value of 65%, while SIS had sensitivity of 94.1%, specificity of 95%, positive predictive value of 96% and negative predictive value of 90%. TVS had kappa measure of agreement of 0.60 while 0.86 was reported for SIS.
CONCLUSIONS
In this study SIS was more sensitive and specific in diagnosing polyp, myoma and adenomyosis with high positive and negative predictive value. Furthermore, results obtained by SIS demonstrate more agreement with that obtained by hysteroscopy than TVS.
目的
比较门诊患者中，盐水灌注子宫声学造影（SIS）与经阴道超声检查（TVS）对异常子宫出血（AUB）病因筛查的准确性。
方法
对81例AUB患者进行研究。所有接受TVS检查的病例，均进一步采用盐水作为造影剂进行SIS检查，最后以宫腔镜检查作为金标准。
结果
TVS的灵敏度为72%，特异度为92%，阳性预测值为94%，阴性预测值为65%；而SIS的灵敏度为94.1%，特异度为95%，阳性预测值为96%，阴性预测值为90%。TVS的kappa一致性检验值为0.60，而SIS为0.86。
结论
在本研究中，SIS在诊断息肉、肌瘤和子宫腺肌病方面更敏感、特异，具有较高的阳性和阴性预测值。此外，与TVS相比，SIS获得的结果与宫腔镜检查获得的结果更一致。
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