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目的探讨宫腔镜联合超声检查对子宫异常出血的诊断价值。方法回顾性分析宫腔镜联合超声检查及定位活检诊断子宫异常出血100例患者的临床资料。结果子宫内膜增殖症46例,子宫肌瘤:粘膜下肌瘤11例、肌壁间肌瘤15例,子宫内膜息肉13例,子宫内膜癌11例,宫内节育器4例,子宫内膜炎3例,经病理证实,符合率98%。结论超声是无创检查,但漏诊率高,作为初步筛查手段,联合宫腔镜检查,更准确、直观、安全,对诊断宫内、宫外及宫壁疾病有重要价值,是诊断子宫异常出血病变的金标准。
Objective To investigate the diagnostic value of hysteroscopy combined with ultrasonography in the diagnosis of abnormal uterine bleeding. Methods A retrospective analysis of hysteroscopy combined with ultrasonography and biopsy of uterine bleeding in 100 cases of clinical data. Results 46 cases of endometrial hyperplasia, uterine fibroids: submucosal fibroids in 11 cases, 15 cases of intramural fibroids, endometrial polyps in 13 cases, 11 cases of endometrial cancer, IUD in 4 cases, uterus Intimalitis in 3 cases, confirmed by pathology, in line with the rate of 98%. Conclusion Ultrasound is a noninvasive examination, but the rate of misdiagnosis is high. As a preliminary screening method, combined with hysteroscopy, more accurate, intuitive and safe diagnosis of intrauterine, extrauterine and uterine wall diseases is of great value in the diagnosis of abnormal uterine bleeding Lesions of the gold standard.