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目的探讨宫腔镜在异常子宫中的应用。方法回顾分析本院145例患者的临床资料。结果宫腔镜检查发现宫颈管息肉14例,子宫内膜息肉46例,黏膜下肌瘤31例,胚物残留9例,子宫内膜异位灶10例,子宫内膜炎8例,疑似子宫内膜癌12例,子宫畸形3例,宫腔粘连2例,正常10例。结论宫腔镜检查对可疑病变直视下活检是诊断异常子宫出血目前最好的方法,具有操作简单、痛苦少、并发症少、术后恢复快的优点,且与病理诊断符合率高,是一种安全、有效的检查方法。
Objective To investigate the application of hysteroscopy in abnormal uterus. Methods The clinical data of 145 patients in our hospital were retrospectively analyzed. Results Hysteroscopy revealed 14 cases of cervical polyps, 46 cases of endometrial polyps, 31 cases of submucous myoma, 9 cases of residual embryo, 10 cases of endometriosis, 8 cases of endometritis, suspected uterus Endometrial carcinoma in 12 cases, 3 cases of uterine malformation, uterine adhesions in 2 cases, normal in 10 cases. Conclusions Hysteroscopy is the best method to diagnose abnormal uterine bleeding in patients with suspicious lesions under direct vision. It has the advantages of simple operation, less pain, fewer complications and quick recovery after operation, and is consistent with the high diagnostic accuracy A safe and effective method of inspection.