国际妇产科学杂志

国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (1): 98-99.

• 论著 • 上一篇    下一篇

窄带成像技术在子宫内膜病变诊断中的应用

孔祥菊 , 孔宪超, 胡德君   

  1. 150001 哈尔滨医科大学附属第二医院(孔祥菊,孔宪超);黑龙江玛利亚医院(胡德君)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-02-15 发布日期:2012-02-15
  • 通讯作者: 孔宪超

Narrow Band Imaging in Diagnosis of Endometrial Diseases

KONG Xiang-ju，KONG Xian-chao，HU De-jun   

  1. The Second Affiliated Hospital of Harbin Medical University，Harbin 150001，China（KONG Xiang-ju，KONG Xian-chao）；Heilongjiang Maria Hospital，Harbin 150080，China（HU De-jun）
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-02-15 Online:2012-02-15
  • Contact: KONG Xian-chao

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摘要： 目的：探讨窄带成像技术（NBI）在子宫内膜病变诊断中的临床应用价值。方法：400例行宫腔镜检查的患者同时进行NBI和白光（WL）宫腔镜检查，将检查的结果与病理结果进行比较。结果：WL宫腔镜诊断、NBI宫腔镜诊断与病理诊断的结果一致性好，WL与NBI宫腔镜诊断一致性好。NBI宫腔镜诊断的符合率较WL宫腔镜检查高。在区分正常和异常子宫内膜方面，NBI较WL宫腔镜具有更高的特异度（93% vs. 79%）、敏感度（98% vs. 95%）及约登指数（0.91 vs. 0.74）。结论：NBI诊断的准确率明显高于WL宫腔镜检查，NBI提高了宫腔镜诊断的可靠性。NBI的高特异度和低的假阴性率可减少不必要的活检。

关键词: 宫腔镜, 宫腔镜检查, 子宫内膜增生, 子宫内膜炎, 子宫内膜肿瘤

Abstract: Objective：To evaluate the efficacy of narrow band imaging （NBI） in diagnosis of the endometrial diseases. Methods：A total of 400 patients were observed under NBI and WL hysteroscopy，and the findings were compared with pathologic examinations. Results：For differentiating normal from abnormal endometrial histopathology，the use of NBI showed a significantly higher specificity （93% vs. 78%） and sensitivity （98% vs. 95%） and Youden index（0.91 vs. 0.74）. Conclusions：Overall，the number of correct diagnoses with NBI was significantly higher than with WL. The use of NBI improved the reliability of diagnostic hysteroscopy. The high specificity and the low number of false negativity may reduce the number of unnecessary biopsies or of those performed in wrong areas.

Key words: Hysteroscopes, Hysteroscopy, Endometrial hyperplasia, Endometritis, Endometrial neoplasms