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目的探讨宫腔镜在异常子宫出血诊疗中的临床应用。方法对在我院因异常子宫出血行宫腔镜检查86例患者的临床资料进行回顾性分析。结果本组宫腔镜检查诊断与病理学诊断总符合率为87.2%,其中子宫内膜息肉为90.9%,萎缩性子宫内膜90.0%,子宫内膜增殖症77.8%,子宫黏膜下肌瘤为94.4%,宫腔内胎物残留为100%,子宫内膜癌为50%。结论宫腔镜是一项新的、安全而有效的评价子宫出血的方法,对子宫出血早发现、早诊断和早治疗提供临床依据。
Objective To investigate the clinical application of hysteroscopy in the diagnosis and treatment of abnormal uterine bleeding. Methods The clinical data of 86 cases who underwent hysteroscopy in our hospital due to abnormal uterine bleeding were retrospectively analyzed. Results The total coincidence rate of hysteroscopy diagnosis and pathological diagnosis was 87.2%, of which 90.9% were endometrial polyps, 90.0% were atrophic endometrium, 77.8% were endometrial hyperplasia, 94.4%, intrauterine fetal residue was 100%, endometrial cancer was 50%. Conclusion Hysteroscopy is a new, safe and effective method for the evaluation of uterine bleeding, and provides a clinical basis for early detection of uterine bleeding, early diagnosis and early treatment.