Karlsson B, Granberg S, Wikland M, Ryd W, Norström A
Department of Obstetrics and Gynecology, Sahlgrenska Hospital, Göteborg, Sweden.
Gynecol Oncol. 1993 Aug;50(2):173-8. doi: 10.1006/gyno.1993.1188.
Endovaginal scanning (EVS) of the endometrium has recently been proposed as a method for the investigation of the endometrial mucosa. In this study, the specificity and sensitivity of EVS have been compared with endometrial cytology and D&C to discriminate between a normal and pathological endometrium. The study included 105 women who underwent preoperative endovaginal ultrasound investigation, endometrial cytology, and D&C because of postmenopausal bleeding. A specificity of 81% and a sensitivity of 97% in diagnosing morphological alterations by means of endovaginal ultrasound was found. The corresponding figures for cytological evaluation were 81 and 58%, respectively. We conclude that endovaginal ultrasound is a valuable diagnostic instrument for detecting pathological conditions in the uterine mucosa and as sensitive as endometrial cytology or D&C.
近期有人提出经阴道扫描（EVS）子宫内膜可作为一种研究子宫内膜黏膜的方法。在本研究中，已将EVS的特异性和敏感性与子宫内膜细胞学及刮宫术进行比较，以鉴别正常与病理性子宫内膜。该研究纳入了105名因绝经后出血而接受术前经阴道超声检查、子宫内膜细胞学检查及刮宫术的女性。结果发现，经阴道超声诊断形态学改变的特异性为81%，敏感性为97%。细胞学评估的相应数字分别为81%和58%。我们得出结论，经阴道超声是检测子宫黏膜病理状况的一种有价值的诊断工具，其敏感性与子宫内膜细胞学或刮宫术相当。
