Clinical value of hysteroscopy and transvaginal ultrasound in endometrial lesions in elderly women
宫腔镜及经阴道超声在老年女性子宫内膜病变的临床价值应用

摘要

目的 探究经阴道超声与宫腔镜对老年女性子宫内膜病变的诊断价值。方法 选取2024年1月至2025年1月期间本院收治的疑似子宫内膜病变的老年患者150例，所有研究对象均依次接受阴道超声、宫腔镜检查，以病理检查结果作为参照标准，据此分析宫腔镜检查及经阴道超声检查的临床价值。结果 宫腔镜在多种子宫内膜病变中检出率高于经阴道超声检出率，宫腔镜图像分辨优良率高于经阴道超声，组间对比差异显著（P＜0.05）。结论 在老年女性子宫内膜病变的诊断工作中，宫腔镜与经阴道超声检查均发挥着关键作用。其中，经阴道超声能够作为初步筛查的有效手段，而宫腔镜在明确病变病因方面则展现出极为突出的优势。

Abstract

Objective To explore the diagnostic value of transvaginal ultrasound and hysteroscopy for endometrial lesions in elderly women.
Methods A total of 150 elderly patients suspected of having endometrial lesions admitted to our hospital from January 2024 to January 2025 were selected. All subjects underwent vaginal ultrasound and hysteroscopy examination in sequence, and the pathological examination results were used as reference standards to analyze the clinical value of hysteroscopy and transvaginal ultrasound examination.
Results The detection rate of hysteroscopy in various endometrial lesions was higher than that of transvaginal ultrasound, and the resolution rate of hysteroscopy images was higher than that of transvaginal ultrasound. The difference between the groups was significant (P<0.05).
Conclusion   Hysteroscopy and transvaginal ultrasound play a crucial role in the diagnosis of endometrial lesions in elderly women. Among them, transvaginal ultrasound can serve as an effective means of preliminary screening, while hysteroscopy has shown outstanding advantages in identifying the cause of lesions.