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目的:评价宫腔镜和B超检查对绝经后子宫出血的诊断价值。方法:应用B超和官腔镜对80例绝经后子宫出血患者进行检查,同时行镜下诊刮术及组织病理检查,并对其资料进行回顾性对照分析。结果:宫腔镜检查确诊宫内病变34例,B超确诊22例,两者符合率61.3%,其中子宫内膜癌为83.3%,子宫内膜息肉为75.0%, 子宫颈管息肉最低(20.0%)。宫腔镜检查粘膜下子宫肌瘤和子宫内膜癌与诊刮病检比较差异有统计学意义(P< 0.01)。结论:宫腔镜是查找子宫出血原因、诊治宫腔内病变的一种不可替代的检查方法。
Objective: To evaluate the diagnostic value of hysteroscopy and B-ultrasound in postmenopausal uterine bleeding. Methods: Eighty patients with postmenopausal uterine bleeding were inspected by B-mode ultrasonography and endoscopy. At the same time, the patients underwent microsurgical curettage and histopathological examination, and their data were retrospectively analyzed. Results: Hysteroscopy diagnosed intrauterine lesions in 34 cases, B ultrasound diagnosed in 22 cases, the coincidence rate of 61.3%, including endometrial cancer was 83.3%, endometrial polyps was 75.0%, the lowest cervical polyp (20.0 %). Hysteroscopy submucosal uterine fibroids and endometrial cancer and curettage disease were significantly different (P <0.01). Conclusion: Hysteroscopy is to find the cause of uterine bleeding, diagnosis and treatment of intrauterine lesions an irreplaceable test method.