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目的评价宫腔镜诊断子宫性疾病的优势及价值。方法2006年1月至2008年7月对573例子宫性疾病患者实施宫腔镜诊断及B超检查,同时取子宫内膜行病理组织学检查。结果对573例子宫性疾病患者应用宫腔镜检查子宫内病变,同时宫腔镜下取组织及异物行病理组织学检查率为25.3%,宫腔镜发现宫内占位病变及形态异常率为63.3%。取宫内膜行病理学检查,病理结果异常占81.3%。取宫内节育环13例。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,可作为诊断子宫性疾病及取子宫内膜异物的金标准。但宫腔镜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 uterine diseases. Methods From January 2006 to July 2008, 573 cases of uterine diseases were diagnosed by hysteroscopy and B ultrasound, and histopathological examination of endometrium was performed. The results of 573 cases of uterine disease in patients with hysteroscopy intrauterine lesions, hysteroscopy and histopathological examination of tissue and foreign body line rate was 25.3%, hysteroscopy found intrauterine lesions and morphological abnormalities rate was 63.3%. Pathological examination of endometrium taken, the abnormal pathological findings accounted for 81.3%. Take IUD 13 cases. Conclusion Hysteroscopy can directly look into the intrauterine lesions, positioning and drawing, high diagnostic accuracy, can be used as a diagnosis of uterine diseases and take the gold standard for endometrial foreign body. But hysteroscopy can not replace the endometrial histopathology.