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目的:探讨宫腔镜检查在异常子宫出血中的临床应用。方法:对我院2010年11月~2012年12月186例子宫异常出血的患者分别进行B超检查后及官腔镜下诊刮,并将其结果进行统计分析,比较B超与宫腔镜在诊断异常子宫出血的临床价值。结果:186例异常子宫出血中,子宫黏膜下肌瘤50例,子宫内膜息肉48例,子宫内膜增生过长42例,子宫内膜炎29例,宫内胚胎物残留12例,子宫内膜癌5例。B超诊断与病理诊断符合57例,诊断符合率为53.3%,不符合52例,占46.2%;宫腔镜诊断与病理诊断符合78例,诊断符合率为83.87%,不符合15例,占16.13%。宫腔镜诊断符合率明显高于B超检查,差异具有统计学意义(P<0.05)。结论:宫腔镜检查异常子宫出血因其操作简便、直观、安全、可靠,且诊断准确率更优于B超诊断后的单纯诊断性刮宫。目前宫腔镜检查已作为妇科诊断异常子宫出血的金标准,值得广泛推广和使用。
Objective: To investigate the clinical application of hysteroscopy in abnormal uterine bleeding. Methods: A total of 186 cases of abnormal uterine bleeding in our hospital from November 2010 to December 2012 were examined by B-mode ultrasonography and under endoscopy, and the results were analyzed statistically. The differences between B-mode ultrasonography and hysteroscopy Diagnosis of abnormal uterine bleeding clinical value. Results: 186 cases of abnormal uterine bleeding, uterine fibroids in 50 cases, 48 cases of endometrial polyps, endometrial hyperplasia in 42 cases, 29 cases of endometritis, intrauterine fetal residues in 12 cases, intrauterine 5 cases of membranous cancer. B-ultrasound and pathological diagnosis of 57 cases, the diagnostic coincidence rate was 53.3%, 52 cases did not meet, accounting for 46.2%; hysteroscopy and pathological diagnosis consistent with 78 cases, the diagnostic accuracy was 83.87%, does not meet the 15 cases, accounting for 16.13%. Hysteroscopy coincidence rate was significantly higher than the B-ultrasound, the difference was statistically significant (P <0.05). Conclusion: Hysteroscopy for abnormal uterine bleeding because of its simple, intuitive, safe and reliable, and the diagnostic accuracy is better than the B-diagnosis after a simple diagnostic curettage. At present, hysteroscopy has been used as the gold standard for the diagnosis of abnormal uterine bleeding in gynecology, which deserves wide promotion and use.