经阴道超声与门诊宫腔镜检查对绝经后女性病理性子宫内膜病变检测的比较研究
[Comparative study of transvaginal sonography and outpatient hysteroscopy for detection of pathologic endometrial lesions in postmenopausal women].
作者信息
Yela Daniela Angerame, Ravacci Simone Hidalgo, Monteiro Ilza Maria Urbano, Pereira Kelly Cristine Hirose Marques, Gabiatti Jose Roberto Erbolato
机构信息
Universidade Estadual de Campinas, São Paulo, SP.
出版信息
Rev Assoc Med Bras (1992). 2009 Sep-Oct;55(5):553-6. doi: 10.1590/s0104-42302009000500018.
OBJECTIVE
To compare the efficiency of transvaginal sonography and outpatient hysteroscopy in the diagnosis of intrauterine pathology in postmenopausal women.
METHODS
Two-hundred and forty-three postmenopausal women were selected. All women had undergone outpatient hysteroscopy in the year 2006. These women were referred from the Basic Healthcare Units in Campinas, where they underwent ultrasonography for the evaluation of the endometrial cavity.
RESULTS
The mean age of these women was 61+/-9.4 years. These women were menopausal for 11+/-8.3 years.. We observed 6.6% cases of endometrial hyperplasia and cancer. The ultrasonography had a sensitivity of 95.6%, a specificity of 7.4%, a positive predictive value of 53.3% and a negative predictive value of 60%, while the hysteroscopy had 95.7%, 83%, 82.2% and 95.9% respectively.
CONCLUSION
Hysteroscopy was a more accurate method for the detection of intrauterine pathology than ultrasonography.
目的
比较经阴道超声检查和门诊宫腔镜检查在绝经后妇女宫腔病变诊断中的效率。
方法
选取243例绝经后妇女。所有妇女均在2006年接受了门诊宫腔镜检查。这些妇女来自坎皮纳斯的基层医疗单位，在那里她们接受了超声检查以评估子宫内膜腔。
结果
这些妇女的平均年龄为61±9.4岁。她们绝经11±8.3年。我们观察到6.6%的子宫内膜增生和癌症病例。超声检查的敏感性为95.6%，特异性为7.4%，阳性预测值为53.3%，阴性预测值为60%，而宫腔镜检查的相应数值分别为95.7%、83%、82.2%和95.9%。
结论
宫腔镜检查在检测宫腔病变方面比超声检查更准确。
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