宫腔镜在诊断慢性子宫内膜炎中的准确性

IF 0.4 4区 医学 Q4 OBSTETRICS & GYNECOLOGY
Mohamed Elmahdy Abdel Moneim, Amany Abdelbary Abdel Latif, Marwa Shehata, I. Ghanem
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引用次数: 1

摘要

背景:与组织病理学诊断相比,检验办公室宫腔镜在诊断慢性子宫内膜炎(CE)中的准确性。方法:这项前瞻性队列研究于2018年7月至2020年1月在一家私立医院进行。计划对220名不孕妇女进行第一次卵浆内单精子注射(ICSI)。年龄在20-40岁之间,有首次计划进行ICSI的原发性不孕史的患者被纳入,而患有慢性疾病、严重阴道出血、既往ICSI失败、多囊卵巢综合征(PCOS)或子宫内膜异位症的患者被排除在外。所有患者均接受了月经后办公室宫腔镜检查,以排除CE的存在;在同样的情况下,子宫内膜活检并进行组织病理学检查。结果:宫腔镜诊断为CE 174例(79.1%),组织病理学阳性162例(73.6%)。99.4%的病例表现为充血,其次是水肿74.7%和微息肉58.6%的CE病例。宫腔镜诊断CE的敏感性、特异性、阳性和阴性预测值分别为93.83%、62.07%、87.36%和78.26%。结论:Office宫腔镜评估本身是相对准确的,但可以通过CD138染色进一步证实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Accuracy of office hysteroscopy in the diagnosis of chronic endometritis
Background: To test the accuracy of office hysteroscopy in the diagnosis of chronic endometritis (CE) as compared to histopathological diagnosis. Methods: This prospective cohort study was conducted in a private hospital from July 2018 to January 2020. 220 infertile women were scheduled for first attempt of intracytoplasmic sperm injection (ICSI). Patients ranging in age from 20–40 with history of primary infertility scheduled for ICSI for the first time were included, while patients with chronic diseases, severe vaginal bleeding, previous failed ICSI, polycystic ovary syndrome (PCOS), or endometriosis were excluded. All patients received postmenstrual office hysteroscopy to rule out the presence of CE; at the same setting, endometrial biopsy was taken and sent for histopathological examination. Results: 174 cases (79.1%) were diagnosed as CE at hysteroscopy, while 162 (73.6%) cases were positive at histopathology. 99.4% of the cases presented with hyperaemia, followed by oedema in 74.7% and micro-polypi in 58.6% of cases with CE. There was a significant difference between the hysteroscopic and the histopathologic diagnosis of CE (p < 0.001). The sensitivity, specificity, and positive and negative predictive values of hysteroscopy were 93.83%, 62.07%, 87.36% and 78.26% respectively. Conclusions: Office hysteroscopic evaluation is relatively accurate on its own but can be further confirmed by CD138 staining.
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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
241
审稿时长
1 months
期刊介绍: CEOG is an international, peer-reviewed, open access journal. CEOG covers all aspects of Obstetrics and Gynecology, including obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine. All submissions of cutting-edge advances of medical research in the area of women''s health worldwide are encouraged.
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