围绝经期异常子宫出血临床诊断中阴道超声与宫腔镜技术的应用效果比较

打开文本图片集

中图分类号：R445 文献标识码：A

DOI：10.3969/j.issn.1006-1959.2025.21.034 文章编号：1006-1959（2025）21-0159-05

Abstract：OjectiToparetatioectoftasvagialultrasouddhsterooiecaliagosisofrosal abnoralterinebleingMetodsAtotalof6OpatientsithperienousalaboaluterinebedingdmitedtoAnfuCountyotalf TraditionalChineeMedicinefromFebruary1toJauary24wereselectedasthedysujects.Allpatientsunderwenthysterooand transvaginalulrasoogasingrgcaltholosoldsadardthisdyoparedthagosticacyfeoo transvaginalultrasoundforperimenopausalabnoaluteinebledingThdiagosticresultsoftransvaginalultrasoudandhsteroscopyfor perimenopausaoaltegaldiidsifalsodeoo fperimenopausalaoaluteinebledingereomparedResultsesultsofugicalpathologicalaationsodtataoge patientsnewlyosdrieosalbalbledingtheeassofdomerle5fbuousaf uterus，6solldsdldid in the diagnosisof perimenopausal abnormal uterine bleeding was higher than that of transvaginal ultrasound（ P<0.05） .Among the 60 patientswith perimenopausaloaluteildingsesitivedegaieIefagoicacyeoa superior to transvaginal ultrasound： 49 cases（ 98.00% ）were detected positive by hysteroscopy，with sensitivity and specificity of 98.00% and 90.00% respectively; 44 cases 88.00% ）were detected positiveby transvaginal ultrasound detected，with a sensitivity of 88.00% and a specificity of 40.00% ， the difference were statistically significant（ P <0.05）.Conclusion Hysteroscopyis more accurate in the etiological diagnosis of perimenopausal abnormaluterinebleeding，nditseicacyisbeterthanvaginalultrasound，whichhasimportantclinicalapplicationvalue.

Keywords：Perimenopausal abnormal uterine bleeding;Transvaginal ultrasound; Hysteroscopy

绝经前后女性卵巢功能逐步降低阶段，其常见的一种妇科病症是子宫不规则出血，这种出血与正常月经周期、规律性、持续时间或出血量存在差异，且起源于子宫内部1。（剩余5733字）