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不规则阴道流血是较常见的妇科疾病,占门诊患者的20%。诊断性刮宫、内膜活检、宫腔镜检查及超声等对不规则阴道流血的诊断均起一定作用,但诊刮仍为最常见及最有效的诊断方法。为了解宫腔镜是否可提高诊刮在诊断内膜疾病的准确性,收集1991年4月～1995年2月在Cedars-Sinai医疗中心因不规则阴道流血就诊的患者资料共373例,平均年龄48(19～88)岁,173例为绝经后妇女。每例患者均先行宫腔检查再行诊刮术。宫腔镜印象及诊刮病理均分别为:萎缩、正常、增生过长、内膜癌和未诊断。 结果表明,诊刮诊断为增生过长者61例,内膜癌者为10例,而宫腔镜诊断为增生过长者32例,内
Irregular vaginal bleeding is the more common gynecological diseases, accounting for 20% of outpatients. Diagnostic curettage, endometrial biopsy, hysteroscopy and ultrasound on the diagnosis of irregular vaginal bleeding play a role, but curettage is still the most common and the most effective diagnostic method. In order to understand whether hysteroscopy can improve the diagnostic accuracy of curettage in the diagnosis of endometrial diseases collected from April 1991 to February 1995 at Cedars-Sinai Medical Center for irregular vaginal bleeding in patients with a total of 373 cases of patient information, the average age 48 (19 ~ 88) years old, 173 cases of postmenopausal women. Uterine cavity examination was performed in each patient before curettage. Hysteroscopic diagnosis and curettage pathology were: atrophy, normal, hyperplasia, endometrial cancer and not diagnosed. The results showed that the curettage diagnosis of hyperproliferation in 61 cases of endometrial cancer in 10 cases, and hysteroscopy diagnosed as hyperplasia in 32 cases, within