Objective: To investigate the diagnostic accuracy of endometrial polyps and endometrial polyps by ultrasound and hysteroscopy. Methods: the clinical data of 381 cases of endometrial polyps diagnosed by hysteroscopy or treatment in our hospital from January 2016 to December 2017were retrospectively reviewed, and the coincidence rate of ultrasonography and hysteroscopy in the diagnosis of endometrial polyps and pathology were compared. Results: the sensitivity and specificity of transvaginal ultrasound in diagnosing endometrial polyps were 44.57％ and 87.82％, respectively, and the coincidence rate between transvaginal ultrasound and pathological diagnosis was 44.57％. The sensitivity and specificity of hysteroscopy in the diagnosis of endometrial polyps were 66.30％ and 83.25％, respectively. The coincidence rate between hysteroscopy and pathological diagnosis was 66.30％. The positive rate of hysteroscopy and transvaginal ultrasound in the diagnosis of endometrial polyps was significantly better than that of transvaginal ultrasound. Conclusion: hysteroscopic removal of polyps and pathological examination is the gold standard for the diagnosis of endometrial polyps. Ultrasound is simple and noninvasive. It is the first choice for preoperative examination, but the rate of missed diagnosis is high. If symptoms are suspected, endometrial polyps, but not detected by ultrasound, should also be actively operated.%目的 探讨超声、宫腔镜诊断子宫内膜息肉与病理符合率.方法 回顾我院妇科2016年1月～2017年12月收治的381例拟诊为子宫内膜息肉或异常子宫出血(超声无器质性病变)的患者行宫腔镜检查或治疗患者的临床资料,对比超声、宫腔镜诊断子宫内膜息肉与病理符合率.结果 本研究显示阴道超声诊断子宫内膜息肉的敏感度44.57％,特异度为87.82％,阴道超声与病理诊断的符合率为44.57％.宫腔镜检查诊断子宫内膜息肉的敏感度为66.30％,特异度为83.25％,宫腔镜与病理诊断的符合率为66.30％,宫腔镜与阴道超声诊断子宫内膜息肉的阳性率相比,明显优于阴道超声诊断.结论 宫腔镜下摘除息肉并行病理检查是子宫内膜息肉诊断的金标准,超声简便、无创,是术前检查的首选,但漏诊率高,如果有症状怀疑子宫内膜息肉但超声未检出时也应该积极手术.
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