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目的 评价宫腔镜诊断异常子宫出血性疾病的优势及价值。方法 2 0 0 3年 12月 15日至 2 0 0 4年 4月 6日秦皇岛市第一医院对 88例异常子宫出血患者应用宫腔镜检查宫内病变 ,同时宫腔镜下取病理进行病理组织学检查。结果 术前B超检查宫腔内异常发生率为 2 2 4 %。宫腔镜发现宫内占位病变及形态异常共 5 5例 ,占 6 2 5 %。取子宫内膜行病理学检查 ,病理结果异常 71例 ,占 80 7%。结论 宫腔镜检查能直视宫腔内病变、定位取材、诊断准确率高 ,可作为诊断异常子宫出血的金标准。但宫腔镜检查不能取代子宫内膜病理组织学检查。
Objective To evaluate the advantages and the value of hysteroscopy in the diagnosis of abnormal uterine bleeding disease. Methods December 15, 2003 to April 4, 2004 Qinhuangdao City, the first hospital on 88 cases of abnormal uterine bleeding in patients with intrauterine lesions hysteroscopy, hysteroscopic pathology and pathology Histological examination. Results The incidence of intrauterine abnormalities in preoperative B-ultrasound was 22.4%. Hysteroscopic intrauterine lesions and morphological changes found in 55 cases, accounting for 62.5%. Take pathological examination of endometrium, 71 cases of pathological abnormalities, accounting for 80 7%. Conclusion Hysteroscopy can directly look into the intrauterine lesions, positioning and drawing, the diagnostic accuracy rate can be used as the gold standard for the diagnosis of abnormal uterine bleeding. However, hysteroscopy can not replace the endometrial histopathology.