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目的:探讨诊断性刮宫及宫腔镜检查在围绝经期阴道流血诊断中的价值。方法:选取2013年1~10月该院诊治的160例围绝经期阴道流血患者为研究对象,随机分为对照组(诊断性刮宫)80例和观察组(诊断性刮宫联合宫腔镜)80例,比较两组对子宫内膜癌、子宫内膜不典型增生及黏膜下肌瘤/息肉的诊断阳性率。结果:观察组对子宫内膜癌、子宫内膜不典型增生及黏膜下肌瘤/息肉的诊断阳性率分别为11.25%、10.00%和11.25%;对照组依次为2.50%、1.25%和1.25%。两组诊断阳性率比较,差异有统计学意义(P<0.05)。结论:诊断性刮宫联合宫腔镜检查能够提高围绝经期阴道流血患者的疾病诊断率,值得临床推广。
Objective: To investigate the value of diagnostic curettage and hysteroscopy in the diagnosis of perimenopausal vaginal bleeding. Methods: A total of 160 cases of perimenopausal vaginal bleeding from January to October 2013 in our hospital were selected and randomly divided into control group (diagnostic curettage) 80 cases and observation group (diagnostic curettage combined with hysteroscopy) 80 Cases, the two groups on endometrial cancer, endometrial dysplasia and submucous fibroids / polyps diagnostic positive rate. Results: The positive rates of diagnosis of endometrial carcinoma, endometrial dysplasia and submucous myoma / polyp in the observation group were 11.25%, 10.00% and 11.25% respectively, while those in the control group were 2.50%, 1.25% and 1.25% respectively . The positive rates of the two groups were statistically significant (P <0.05). Conclusion: The diagnostic curettage combined with hysteroscopy can improve the diagnosis rate of patients with perimenopausal vaginal bleeding, worthy of clinical promotion.