Namazov Ahmet, Gemer Ofer, Bart Oshrit, Cohen Ornit, Vaisbuch Edi, Kapustian Viki, Ben-Arie Alon
Department of Obstetrics and Gynecology, Barzilai University Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Ashkelon, Israel.
Department of Obstetrics and Gynecology, Barzilai University Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Ashkelon, Israel.
J Obstet Gynaecol Can. 2019 Jul;41(7):926-929. doi: 10.1016/j.jogc.2018.08.012. Epub 2019 Jan 10.
This study sought to compare the value of transvaginal ultrasonography (TVUS) and hysteroscopy in premenopausal and postmenopausal women in the diagnosis of endometrial polyp.
The records of 694 women with an ultrasonographic diagnosis of suspected endometrial polyp who underwent hysteroscopy were studied. Patients were divided into two groups according to menopausal status, and a comparison was made between two groups.
There were 299 postmenopausal and 395 premenopausal women in the study. Hysteroscopy confirmed the ultrasonographic diagnosis of endometrial polyp in 212 (71%) and 212 (53%) patients in the postmenopausal and premenopausal groups, respectively (P = 0.001). In postmenopausal patients, 94% of the polyps observed by hysteroscopy were confirmed by histology, whereas in premenopausal patients, the percentage was 85% (P = 0.004).
In premenopausal patients, the diagnostic value of TVUS and hysteroscopy is lower than in postmenopausal patients. The appropriate time for TVUS and hysteroscopy should be scheduled in premenopausal women, especially in women with abnormal uterine bleeding.
本研究旨在比较经阴道超声检查（TVUS）和宫腔镜检查对绝经前和绝经后妇女子宫内膜息肉的诊断价值。
对694例超声诊断疑似子宫内膜息肉并接受宫腔镜检查的妇女的记录进行研究。根据绝经状态将患者分为两组，并对两组进行比较。
本研究中有299例绝经后妇女和395例绝经前妇女。宫腔镜检查证实绝经后组和绝经前组分别有212例（71%）和212例（53%）患者的超声诊断为子宫内膜息肉（P = 0.001）。在绝经后患者中，宫腔镜检查观察到的息肉有94%经组织学证实，而在绝经前患者中，这一比例为85%（P = 0.004）。
在绝经前患者中，TVUS和宫腔镜检查的诊断价值低于绝经后患者。对于绝经前妇女，尤其是有子宫异常出血的妇女，应安排合适的时间进行TVUS和宫腔镜检查。
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