论文部分内容阅读
目的探讨宫腔镜在异常子宫出血诊断及治疗中的优势。方法 2007年5月至2010年9月对新乡市第四人民医院妇科因异常子宫出血就诊的63例患者行宫腔镜探查,取样送病理,术中能明确诊断者宫腔镜下采取相应的手术治疗,术后亦送病理检查。结果 63例患者中,宫腔镜诊断内膜息肉16例(25.4%)、颈管息肉12例(19.0%)、黏膜下肌瘤15例(23.8%),均行宫腔镜下摘除或电切术,病理结果符合率100%;宫内异物7例(11.1%)宫腔镜顺利取出;宫腔粘连2例(3.2%)宫腔镜下行粘连分离术,病理结果符合;子宫内膜炎2例(3.2%)病理结果符合;可疑内膜癌9例(14.3%),其中8例病理结果符合,1例为复杂型增生另行治疗。结论宫腔镜探查异常子宫出血诊断准确,治疗微创,可作为异常子宫出血常规诊治手段。
Objective To explore the advantages of hysteroscopy in the diagnosis and treatment of abnormal uterine bleeding. Methods From May 2007 to September 2010, 63 cases of abnormal gynecological bleeding in gynecological department of the Fourth People’s Hospital of Xinxiang City were examined by hysteroscopy and sampled for pathology. The patients who underwent hysteroscopic surgery underwent definite surgery Treatment, postoperative pathology also sent. Results Among the 63 patients, hysteroscopic diagnosis of endometrial polyp in 16 cases (25.4%), cervical canal polyp in 12 cases (19.0%) and submucosal fibroids in 15 cases (23.8%) were performed hysteroscopic removal or resection Hysteroscopy was performed successfully in 7 cases (11.1%) of intrauterine lesions; hysteroscopy was performed in 2 cases (3.2%) of intrauterine adhesions, and the pathological results were consistent with those of endometritis Cases (3.2%) of the pathological results in line with suspicion of endometrial cancer in 9 cases (14.3%), of which 8 cases of pathological findings in line with a complex hyperplasia of another treatment. Conclusion Hysteroscopic diagnosis of abnormal uterine bleeding is accurate, minimally invasive treatment, can be used as a routine diagnosis and treatment of abnormal uterine bleeding.