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目的 探讨宫腔镜与B超联合检查在各种异常子宫出血中的诊断价值。方法 2 0 0 1年 7月至 2 0 0 2年 7月应用宫腔镜联合B超检查异常子宫出血 176例 ,术中行定位取材或诊断性刮宫。结果 宫腔镜联合B超诊断子宫内膜增生过长 4 6例 ,符合率为 6 3 0 4 % ;子宫内膜息肉 4 5例 ,符合率为 95 5 6 % ;子宫粘膜下肌瘤 8例 ,符合率为 87 5 0 % ;子宫内膜癌 3例 ,符合率为 75 0 0 %。结论 宫腔镜联合B超检查异常子宫出血 ,可以提高子宫内膜息肉及子宫粘膜下肌瘤的诊断率。尽管对子宫内膜增生过长及子宫内膜癌的敏感性与单纯诊刮相似 ,但可观察到更详细的形态学变化
Objective To investigate the diagnostic value of hysteroscopy and B-ultrasound in various abnormal uterine bleeding. Methods From July 2001 to July 2002, 176 cases of abnormal uterine bleeding were diagnosed by hysteroscopy combined with B-mode ultrasound. Results Hysteroscopy combined with B-ultrasound diagnosis of endometrial hyperplasia 46 cases, the coincidence rate was 63.04%; endometrial polyps 45 cases, 95 56%; uterine fibroids in 8 cases , The coincidence rate was 87.5%; 3 cases of endometrial cancer, the coincidence rate was 75 0%. Conclusion Hysteroscopy combined with B-ultrasound to detect abnormal uterine bleeding can improve the diagnostic rate of endometrial polyps and uterine submucosal fibroids. Although the sensitivity to endometrial hyperplasia and endometrial cancer is similar to that of melanoma alone, more detailed morphological changes can be observed