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| Comparison of the accuracy of transvaginal ultrasonography and hysteroscopy for diagnosing abnormal uterine bleeding |
| 1. Hainan Modern Women and Children's Hospital, Haikou, Hainan Province, 570100；2. The First Affiliated Hospital of Hainan Medical College；3. The First People's Hospital of Xinyang, Henan Province |
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Abstract To explore the effect of transvaginal ultrasonography and hysteroscopy for diagnosing abnormal uterine bleeding of women. Methods: The clinical data of 138 women with abnormal uterine bleeding from February 2018 to April 2020 were collected. All these women had been diagnosed by pathological results and were divided into 69 cases diagnosed by transvaginal ultrasound in group A and 69 cases diagnosed by hysteroscopy in group B according to different examination methods. The effect of diagnosis by transvaginal ultrasound and hysteroscopy was analyzed. Results: The diagnostic accuracy of the women in group B (89.9%) was significant higher than that (69.6%) of the women in group A, but the rate of missed diagnosis (8.6%) and misdiagnosis (1.5%) of the women in group B were significant lower than those (20.3% and 10.1%) of the women in group A (P＜0.05). The diagnostic coincidence rate of the women with different etiology and different types of lesions in group B was significant higher than that of the women in group A (P＜0.05). Conclusion: The application of hysteroscopy for diagnosing abnormal uterine bleeding symptoms can clearly identify the different causes and different lesions status, which can improve the accuracy of clinical diagnosis.
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