Mathlouthi Nabil, Slimani Olfa, Ferchichi Amira, Ben Temime Riadh, Makhlouf Tahar, Attia Leila, Chachia Abdellatif
Service de gynecologie, CHU Cha les Nicolle, Tunis, Tunisie.
Tunis Med. 2013 Feb;91(2):99-103.
Post-menopausal bleeding are frequently found in gynaecological consultations and requires the search of an organic cause
To value the profit and the performances of the transvaginal ultrasonography and the hysteroscopy in the determination of the causes of post-menopausal bleeding.
80 patients presenting abnormal uterine bleeding in post menopause period have been explored in our department with transvaginal ultrasonography and hysteroscopy. The findings have been evaluated on the basis of specimens obtained from either endometrial biopsy, hysterectomy or operative hysteroscopy. We have calculated in our study the sensitivity, the specificity, the positive and negative predictive values of transvaginal ultrasonography and hysteroscopy.
The sensitivity, the specificity, the positive and negative values predictive of the transvaginal ultrasonography is respectively 93, 75%, 87, 5%, 83, 3% and 95, 45%. In the other part, hysteroscopy seems more performant in the diagnosis of intrauterine abnormalities with the respective values: 100%, 95, 83%, 94, 11% and 100%.
The initial investigation in front of all mennorhagic patients must be the transvaginal ultrasonography but we also need the hysteroscopy because its highly accurate means in the diagnosis of the causes of excessive uterine bleeding in post menopausal period.
绝经后出血在妇科会诊中经常出现，需要寻找器质性病因。
评估经阴道超声检查和宫腔镜检查在确定绝经后出血原因方面的作用和表现。
我们科室对80例绝经后出现异常子宫出血的患者进行了经阴道超声检查和宫腔镜检查。根据子宫内膜活检、子宫切除术或手术宫腔镜检查获取的标本对检查结果进行评估。我们在研究中计算了经阴道超声检查和宫腔镜检查的敏感性、特异性、阳性和阴性预测值。
经阴道超声检查的敏感性、特异性、阳性和阴性预测值分别为93.75%、87.5%、83.3%和95.45%。另一方面，宫腔镜检查在诊断子宫内异常方面似乎表现更佳，其相应数值分别为100%、95.83%、94.11%和100%。
对于所有月经过多的患者，初步检查必须是经阴道超声检查，但我们也需要宫腔镜检查，因为它是诊断绝经后子宫出血过多原因的高度准确的方法。
