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2007•Journal of clinical and experimental medicineRequires access

Hysteroscopy in the diagnosis of postmenopausal bleeding

Liao Bi-ling

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Abstract

Objective To investigate the value of hysteroscopy in the diagnosis of postmenopausal bleeding (PMB).Methods 125 patients with PMB were examined with panoramic hysteroscopy and curettage of the uterine cavity or endometrial biopsy.Results The sensitivity,specificity,positive predictive value and negative predictive value of hysteroscopy to detecting uterine cavity diseases were 97.8% ( 90/92), 81.8% ( 27/33), 93.8% (90/96) and 93.1% (27/29), respectively. The sensitivity of hysteroscopy to detecting submucous myoma, endometrial polyp, endometritis,endometrial carcinoma and endometrial hyperplasia were 100%, 90.0%, 87.0%,73.33% and 70.6% ,respectively.Conclusion Hysteroscopy in conjunction with curettage or endometrial biopsy can greatly increase the accurate diagnostic rate of uterine cavity diseases.

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What this paper is about

Objective To investigate the value of hysteroscopy in the diagnosis of postmenopausal bleeding (PMB).Methods 125 patients with PMB were examined with panoramic hysteroscopy and curettage of the uterine cavity or endometrial biopsy.Results The sensitivity,specificity,positive predictive value and negative predictive value of hysteroscopy to detecting uterine cavity diseases were 97.8% ( 90/92), 81.8% ( 27/33), 93.8% (90/96) and 93.1% (27/29), respectively. The sensitivity of hysteroscopy to detecting submucous myoma, endometrial polyp, endometritis,endometrial carcinoma and endometrial hyperplasia were 100%, 90.0%, 87.0%,73.33% and 70.6% ,respectively.Conclusion Hysteroscopy in conjunction with curettage or endometrial biopsy can greatly increase the accurate diagnostic rate of uterine cavity diseases.

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Available abstract

Objective To investigate the value of hysteroscopy in the diagnosis of postmenopausal bleeding (PMB).Methods 125 patients with PMB were examined with panoramic hysteroscopy and curettage of the uterine cavity or endometrial biopsy.Results The sensitivity,specificity,positive predictive value and negative predictive value of hysteroscopy to detecting uterine cavity diseases were 97.8% ( 90/92), 81.8% ( 27/33), 93.8% (90/96) and 93.1% (27/29), respectively. The sensitivity of hysteroscopy to detecting submucous myoma, endometrial polyp, endometritis,endometrial carcinoma and endometrial hyperplasia were 100%, 90.0%, 87.0%,73.33% and 70.6% ,respectively.Conclusion Hysteroscopy in conjunction with curettage or endometrial biopsy can greatly increase the accurate diagnostic rate of uterine cavity diseases.

Key concepts: Hysteroscopy, Medicine, Curettage, Endometrial biopsy, Endometrial Polyp, Uterine cavity, Endometritis, Predictive value

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