摘要目的:比较宫腔镜与经阴道超声对子宫内膜病变的诊断价值。方法:回顾性抽取2023年1月至2023年12月安康市中医医院收治的疑似子宫内膜病变患者160例，均行宫腔镜、经阴道超声检测，以病理检查结果为标准，分析两种检查方式对子宫内膜病变的诊断效能。结果:宫腔镜诊断子宫内膜病变的准确度(95.63%，153/160)、敏感度(94.57%，87/92)、特异度(97.06%，66/168)、阴性预测值(92.96%，66/71)、阳性预测值(97.75%，87/89)高于经阴道超声(68.75%，110/160；68.48%，63/92；52.81%，47/89；61.84%，47/76；75.00%，63/84)， P<0.05。宫腔镜诊断慢性非特异性内膜炎、子宫内膜息肉、早期子宫内膜癌、正常内膜与病理诊断的符合率高于经阴道超声( P<0.05)。 结论:宫腔镜对子宫内膜病变的诊断价值高于经阴道超，宫腔镜检查可提升诊断符合率。

abstractsObjective:To compare the diagnostic value of hysteroscopy and transvaginal ultrasound for endometrial lesions.Methods:A total of 160 patients with suspected endometrial lesions admitted to Ankang Hospital of Traditional Chinese Medicine from January 2023 to December 2023 was retrospectively selected, and all of them underwent hysteroscopy and transvaginal ultrasound examinations. Based on the results of pathological examination, the diagnostic efficacy of the two examination methods for endometrial lesions was analyzed.Results:The accuracy (95.63%, 153/160), sensitivity (94.57%, 87/92), specificity (97.06%, 66/68), negative predictive value (92.96%, 66/71) and positive predictive value (97.75%, 87/89) of hysteroscopy in the diagnosis of endometrial lesions were higher than those of transvaginal ultrasound (68.75%, 110/160; 68.48%, 63/92; 52.81%, 47/89; 61.84%, 47/76; 75.00%, 63/84), P<0.05. The coincidence rate of hysteroscopy in the diagnosis of chronic non-specific endometritis, endometrial polyps, early endometrial cancer, and normal endometrium were higher than those of transvaginal ultrasound ( P<0.05). Conclusions:The diagnostic value of hysteroscopy for endometrial lesions is higher than that of transvaginal ultrasound, and hysteroscopy can improve the diagnostic coincidence rate.