Objective To analyze the value of ultrasound and hysteroscopy (HS) in the diagnosis of endometrial lesions , and provide reference for clinical diagnosis .Methods 192 cases of suspected endometrial lesions received transvaginal sonogra -phy(TVS) and HS,clinical outcomes were recorded by biopsy under hysteroscopy or postoperative pathology .Comparison of the results between pathological findings and TVS and HS were analyzed .Results The results showed that among192 cases of sus-pected endometrial lesions :60 cases was endometrial hyperplasia ,30 cases was endometrial polyps ,26 cases was submucosal uter-ine fibroids,14 cases was endometrial cancer ,14 cases was endometrial atrophy ,and meningitis in patients with chronic non -spe-cific uterine was 25 cases,no disease was 20 cases;192 cases underwent TVS examination showed that there had 61 cases of endo-metrial hyperplasia,endometrial polyps 35 cases,25 cases of submucosal fibroids,endometrial cancer 12 cases,chronic non-specif-ic meningitis 20 cases,22 cases of normal.Transvaginal ultrasound diagnosis of endometrial lesions in 170 cases,of which 161 ca-ses of pathologically confirmed as abnormal .HS results of 192 cases showed that there had 22 cases of no abnormalities,of which 18 cases were pathologically confirmed to be no abnormalities .Endometrial lesions diagnosed by HS was 170 cases,of which 168 cases were pathologically confirmed to be abnormal ;there had no significant difference between ultrasound and HS in the diagnosis compliance rate of endometrial hyperplasia ,endometrial cancer,and endometrial atrophy(P >0.05),there had significant differ-ence between ultrasound and HS in the diagnosis compliance rate of endometrial polyps ,submucosal fibroids chronic nonspecific endometritis,and normal(P <0.05).Conclusion HS is a more reliable method in the diagnosis of endometrial lesions ,but ul-trasound has a valid,simple and economic characteristics,and pathology has confirmed diagnosis .%目的：比较分析超声检查和宫腔镜检查对子宫内膜病变的诊断价值，为临床诊断提供参考依据。方法选择192例疑似子宫内膜病变患者，分别行阴道超声检查（TVS）和宫腔镜检查（HS），在使用宫腔镜的情况下进行活检，或者术后经病理学确认，详细记录临床结果。比较阴道超声和宫腔镜的检查结果与病理结果的差异性。结果192例疑似子宫内膜病变患者诊断显示：60例诊断为内膜增生，30例诊断为子宫内膜息肉，26例患者诊断为子宫粘膜下肌瘤，14例患者诊断为子宫内膜癌，14例患者诊断为内膜萎缩，并且慢性非特异性子宫内膜炎患者有25例，无病变20例；192例患者行阴道超声检查：内膜增生61例，内膜息肉35例，粘膜下肌瘤25例，内膜癌12例，慢性非特异性内膜炎20例，正常者22例。经阴道超声诊断内膜病变170例，经病理检查证实其中161例为异常；192例患者经宫腔镜检查诊断未见异常者22例，经病理证实其中18例未见异常。宫腔镜检查诊断内膜病变170例，经病理检查证实其中168例为异常；超声检查和宫腔镜检查在宫内膜增生、内膜癌、内膜萎缩的诊断符合率上，无显著性差异（P ＞0．05），在对内膜息肉、粘膜下肌瘤慢性非特异性子宫内膜炎、正常者的诊断符合率上，存在显著性差异（P ＜0．05）。结论宫腔镜检查是一种较为可靠的诊断方法，但超声检查具有有效、简便、经济的特点，病理检查为确诊子宫内膜病变的方法。
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