论文部分内容阅读
目的评价宫腔镜诊断未婚女性异常子宫出血的临床应用价值。方法2003-01-2005-08天津中医学院第一附属医院在静脉麻醉下对37例未婚异常子宫出血患者行宫腔镜检查,同时宫腔镜下取病理进行病理组织学检查,术中超声全程监测。结果37例患者均成功在宫腔镜下完成了检查及病理取材,无一例处女膜损伤,无宫颈损伤和子宫穿孔。病理诊断正常增殖期宫内膜13例,子宫内膜息肉1例,宫内膜微小息肉合并子宫内膜单纯增生2例,子宫内膜单纯性增生8例。增殖期宫内膜增生现象8例,子宫内膜炎1例,子宫内膜异位症1例,粘膜下肌瘤2例。结论对未婚患者的可疑宫内病变,在不损伤处女膜的情况下宫腔镜检查同时进行病理诊断是可行的。
Objective To evaluate the clinical value of hysteroscopy in the diagnosis of abnormal uterine bleeding in unmarried women. Methods From January 2003 to August 2005, 37 cases of unmarried patients with abnormal uterine bleeding underwent hysteroscopy at the First Affiliated Hospital of Tianjin College of Traditional Chinese Medicine under the venous anesthesia. Histopathological examinations were performed under the pathological examination of the hysteroscope. The intraoperative ultrasound . Results All the 37 patients underwent successful hysteroscopy and histopathology. No hymen injury, no cervical injury and uterine perforation were found. Pathological diagnosis of normal proliferative endometrium in 13 cases, 1 case of endometrial polyps, endometrial polyps with endometrial hyperplasia in 2 cases, simple hyperplasia in 8 cases. 8 cases of proliferative endometrial hyperplasia, 1 case of endometritis, 1 case of endometriosis, 2 cases of submucous myoma. Conclusion It is feasible to diagnose intrauterine lesions of unmarried patients by hysteroscopy without damaging the hymen.