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目的 :评价子宫声学造影对异常子宫出血的诊断价值。方法 :对 78例异常子宫出血患者进行子宫声学造影(SHG) ,根据不同的结果分别对患者进行诊断性刮宫或宫腔镜检查 ,或直接手术治疗 ,并将 SHG结果与病理检查结果对照分析。结果 :SHG识别出子宫粘膜下肌瘤 2 3例、内膜息肉 14例、内膜癌 8例、内膜增生过长 17例 ,其诊断宫内病变的敏感性和特异性分别为 96 .7%和 82 .4%。本组病例造影后均未发生并发症。结论 :SHG是评价异常子宫出血、诊断宫内病变的简便、有效方法。
Objective: To evaluate the value of uterine angiography in the diagnosis of abnormal uterine bleeding. Methods: 78 cases of abnormal uterine bleeding in patients with uterine ultrasound (SHG), according to the results of different patients were diagnosed by curettage or hysteroscopy, or direct surgical treatment, and SHG results and pathological examination results were analyzed. Results: SHG identified 23 cases of uterine submucous myoma, 14 cases of endometrial polyps, 8 cases of endometrial carcinoma, 17 cases of endometrial hyperplasia, the diagnosis of intrauterine lesions sensitivity and specificity were 96.7 % And 82 .4%. This group of patients after angiography did not occur complications. Conclusion: SHG is a simple and effective method to evaluate abnormal uterine bleeding and diagnose intrauterine lesions.