门诊和住院宫腔镜的成像和诊断准确性

Y. Frolova, S. I. Yelgina
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摘要

的目标。比较门诊和住院子宫内膜疾病患者宫腔镜的显像结果和诊断准确性。材料与方法。我们对2018年至2020年在克麦罗沃市第四临床医院(n = 300)或在克麦罗沃市医院(n = 300)接受门诊宫腔镜检查的子宫疾病患者进行了回顾性分析。子宫内膜疾病的诊断采用人工真空抽吸法。对于大多数子宫内膜疾病,门诊和住院宫腔镜检查的适应症、成像和诊断准确性没有差异,但住院宫腔镜是不孕妇女的首选(p = 0.035)。门诊和住院宫腔镜的诊断准确性高度一致,但门诊宫腔镜更多显示子宫腺肌症和子宫畸形,而较少发现子宫内膜息肉。门诊和住院宫腔镜同样有效,尽管门诊宫腔镜在检测子宫腺肌病和子宫畸形方面有其优势,但在诊断子宫内膜息肉方面信息较少。
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Imaging and diagnostic accuracy of outpatient and inpatient hysteroscopy
Aim. To compare the results of visualisation and diagnostic accuracy during outpatient and inpatient hysteroscopy in women with endometrial disease.Materials and Methods. We performed a retrospective analysis of patients with uterine diseases who underwent outpatient hysteroscopy at Kemerovo City Clinical Hospital №4 (n = 300) or inpatient hysteroscopy within the hospitals (n = 300) in Kemerovo from 2018 to 2020. Confirmation of endometrial disease was carried out by manual vacuum aspiration.Results. Indications, imaging, and diagnostic accuracy did not differ for most endometrial diseases in outpatient and inpatient hysteroscopy, yet inpatient hysteroscopy was the option of choice in women with infertility (p = 0.035). Diagnostic accuracy of outpatient and inpatient hysteroscopy was highly concordant, albeit outpatient hysteroscopy more often revealed adenomyosis and uterine malformation and less often identified endometrial polyps.Conclusion. Outpatient and inpatient hysteroscopy are equally efficient, although outpatient hysteroscopy has its benefits in detecting adenomyosis and uterine malformation and be less informative in diagnosing endometrial polyps.
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