2011•Zhongguo fuyou baojianRequires access
Value of transvaginal sonography combined with hysteroscopy in diagnosis of perimenopausal abnormal uterine bleeding
Yan Cui
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Abstract
Objective:To explore the value of transvaginal sonography combined with hysteroscopy in diagnosis of perimenopausal abnormal uterine bleeding. Methods:124 hospitalized patients with perimenopausal abnormal uterine bleeding from September 2004 to May 2009 received transvaginal sonography and hysteroscopy,and biopsy under hysteroscope was carried out,the results of transvaginal sonography and hysteroscopy were compared with pathological results. Results:The sensitivity of transvaginal sonography was 97.67%,the specificity of transvaginal sonography was 52.63%,the positive predictive value of transvaginal sonography was 82.35%,the negative predictive value of transvaginal sonography was 90.91%,the accurate rate of transvaginal sonography was 83.87%;the sensitivity of hysteroscopy was 98.85%,the specificity of hysteroscopy was 89.19%,the positive predictive value of hysteroscopy was 95.56%,the negative predictive value of hysteroscopy was 97.06%,the accurate rate of hysteroscopy was 95.97%. Conclusion:Hysteroscopy plays an important role in diagnosis of perimenopausal abnormal uterine bleeding,transvaginal sonography combined with hysteroscopy can define the causes of perimenopausal abnormal uterine bleeding and increase the accurate rate of diagnosis.