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目的探讨宫腔镜(HS)诊断子宫内膜增生症(EH)的符合率及影响因素。方法回顾性分析经宫腔镜诊断并治疗的EH患者104例临床资料,与组织病理学诊断结果进行比较。结果 HS诊断与组织病理学符合率69.23%,误诊24例,漏诊8例;HS与组织病理学诊断EH在不同类型和不同生理期的符合率上,差异有显著性(P<0.05)。结论 HS诊断EH的准确率受月经周期、病理类型影响大,必须结合组织病理学进行诊断才能及早诊治与预防。
Objective To investigate the coincidence rate and influential factors of hysteroscopy (HS) diagnosis of endometrial hyperplasia (EH). Methods The clinical data of 104 cases of EH diagnosed and treated by hysteroscopy were retrospectively analyzed and compared with the results of histopathological diagnosis. Results The coincidence rate of HS diagnosis and histopathology was 69.23%, misdiagnosis was 24 cases and misdiagnosis was 8 cases. The coincidence rate of HS and histopathological diagnosis of EH in different types and different physiological stages was significantly different (P <0.05). Conclusion The accuracy of HS diagnosis of EH by the menstrual cycle, the pathological type of impact, must be combined with histopathological diagnosis to early diagnosis and treatment.