Application of hysteroscopy combined with B ultrasound in the diagnosis of endometrial polyps

Objective To explore the application value of hysteroscopy combined with B ultrasound in diagnosis of endometrial polyps. Methods 120 patients admitted in Laiwu people's hospital、hospital for abnormal uterine bleeding from 2010 April to 2013 June were selected,all cases were examined by B ultrasound and hysteroscopy,32 cases were diagnosed as endometrial polyps by hysteroscopy were taken hysteroscopic endometrial polypectomy and pathological examination,the preoperative B ultrasound and hysteroscopy results were compared with pathological results. Results The sensitivity of B ultrasound,hysteroscopy,hysteroscopy combined with B ultrasound were 40. 0 %,90. 0 %,96. 67 % respectively,the specificity of three methods were 91. 11 %,94. 44%,97. 78 % respectively,the rate of missed diagnosis of three methods were 60. 0 %,10. 0 %,3. 33 % respectively,the misdiagnosis rate of three methods were 8. 89 %,5. 56 %,2. 22 % respectively,the Kappa value of three methods were 0. 674,0. 867,0. 934 respectively( P 0. 05). Conclusion For patients with endometrial polyps,the diagnostic accuracy rate of hysteroscopy is higher than B ultrasound,while hysteroscopy combined with B ultrasound has higher clinical value for preoperative diagnosis.