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2008•Practical Journal of Clinical MedicineRequires access

Diagnosis value of hysteroscopy and transvaginal sonography in intrauterine cavity lesions

Tao Li

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Abstract

Objective To explore the value of hysteroscopy(HS) and transvaginal sonography(TVS) in the diagnosis of intrauterine cavity lesions.Methods 235 intrauterine cavity lesion cases were detected by HS and TVS at the same time,and the results were compared with pathologic findings.Results The sensitivity and specificity to endometrial hyperplasia and endometrial polyps were higher by HS than TVS.The sensitivity to endometrial cancer was higher by TVS than HS,but the specificity was lower.Conclusion HS with biopsy is the gold diagnosis standard for the intrauterine cavity lesions.TVS,being noninvasive,inexpensive,and having a good repeatability,is still irreplaceable and should be preferably used as a preliminary screening measure.

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What this paper is about

Objective To explore the value of hysteroscopy(HS) and transvaginal sonography(TVS) in the diagnosis of intrauterine cavity lesions.Methods 235 intrauterine cavity lesion cases were detected by HS and TVS at the same time,and the results were compared with pathologic findings.Results The sensitivity and specificity to endometrial hyperplasia and endometrial polyps were higher by HS than TVS.The sensitivity to endometrial cancer was higher by TVS than HS,but the specificity was lower.Conclusion HS with biopsy is the gold diagnosis standard for the intrauterine cavity lesions.TVS,being noninvasive,inexpensive,and having a good repeatability,is still irreplaceable and should be preferably used as a preliminary screening measure.

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Available abstract

Objective To explore the value of hysteroscopy(HS) and transvaginal sonography(TVS) in the diagnosis of intrauterine cavity lesions.Methods 235 intrauterine cavity lesion cases were detected by HS and TVS at the same time,and the results were compared with pathologic findings.Results The sensitivity and specificity to endometrial hyperplasia and endometrial polyps were higher by HS than TVS.The sensitivity to endometrial cancer was higher by TVS than HS,but the specificity was lower.Conclusion HS with biopsy is the gold diagnosis standard for the intrauterine cavity lesions.TVS,being noninvasive,inexpensive,and having a good repeatability,is still irreplaceable and should be preferably used as a preliminary screening measure.

Key concepts: Medicine, Hysteroscopy, Transvaginal sonography, Uterine cavity, Radiology, Gold standard (test), Endometrial cancer, Biopsy

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