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目的探讨宫腔镜在诊治异常子宫出血疾病中的应用价值。方法对87例因经量增多,经期延长或者不规则子宫出血的患者行宫腔镜检查进行回顾性分析。结果本组手术均顺利,无并发症,检查发现宫腔息肉27例,息肉样增生13例,黏膜下肌瘤7例,子宫内膜炎4例,胚胎残留3例,单纯性增生26例,不典型增生5例,子宫内膜癌1例,滋养细胞疾病1例。结论宫腔镜检查安全可靠,定位准确,减少漏诊,可在门诊进行,是早期发现和准确诊断宫内病变的最佳方法。
Objective To explore the value of hysteroscopy in the diagnosis and treatment of abnormal uterine bleeding. Methods A retrospective analysis was performed on hysteroscopy in 87 cases of patients with increased menstruation or irregular uterine bleeding due to increased volume. Results The surgery was successful and no complications were found. 27 cases of uterine polyps, 13 cases of polypoid hyperplasia, 7 cases of submucous myoma, 4 cases of endometritis, 3 cases of embryo remnant, 26 cases of simple hyperplasia, 5 cases of dysplasia, 1 case of endometrial cancer, 1 case of trophoblastic disease. Conclusion Hysteroscopy is safe and reliable, accurate positioning, less missed diagnosis, and can be carried out in the clinic. It is the best method for early detection and accurate diagnosis of intrauterine lesions.