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目的:评价宫腔镜对绝经后子宫出血的诊断价值。方法:对231例绝经后子宫出血患者进行宫腔镜检查。结果:有阳性发现者为180例,其中老年性子宫内膜炎70例,子宫内膜息肉41例,子宫粘膜下肌瘤18例,子宫内膜癌11例(经定位活检证实),宫内节育器12例,宫颈管炎8例,宫颈管息肉22例,诊断阳笥率为77.9%。其中13例子宫内膜息肉和2例子宫粘膜下肌瘤行电视宫腔镜下电切术。结论:宫腔镜检查对绝经后子宫出血诊断阳性率高,与定位活检相结合可大大地提高宫腔内疾病诊断的准确性。而且宫腔镜下电切术具有操作简单、病人痛苦少、并发症少、术后恢复快的优点。
Objective: To evaluate the diagnostic value of hysteroscopy in postmenopausal uterine bleeding. Methods: Hysteroscopy was performed on 231 cases of postmenopausal uterine bleeding. Results: There were 180 cases of positive findings, including 70 cases of senile endometritis, 41 cases of endometrial polyps, 18 cases of uterine submucous myoma, 11 cases of endometrial carcinoma (confirmed by biopsy), intrauterine 12 cases of IUD, 8 cases of cervical canal inflammation, 22 cases of cervical polyp, the rate of positive diagnosis was 77.9%. Among them, 13 cases of endometrial polyps and 2 cases of uterine fibroids underwent hysteroscopic resection. Conclusions: Hysteroscopy has a high positive rate of diagnosis of post-menopausal uterine bleeding, and combined with localization biopsy can greatly improve the diagnostic accuracy of intrauterine diseases. And hysteroscopic resection has the advantages of simple operation, less patient suffering, fewer complications and quick recovery after operation.