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目的分析宫腔镜检查异常阴道出血的结果,探讨宫腔镜检查的诊断价值。方法回顾性分析2008年6月至2010年6月期间行宫腔镜检查的异常阴道出血患者286例的宫腔镜检查结果。结果 286例中宫腔镜检查发现异常202例,占70.6%(202/286),子宫内膜息肉90例(44.6%),胚胎残留14例(6.9%),宫内膜炎13例(6.4%),疑似子宫内膜癌8例(3.9%),宫颈管息肉13例(6.4%),子宫畸形5例(2.5%),子宫黏膜下肌瘤11例(5.4%),宫腔粘连10例(4.9%),子宫内膜增生38例(18.8%)。与病理诊断结果相比,宫腔镜的诊断的敏感性和特异性分别为92.6%和90.8%。结论宫腔镜对异常阴道出血病因的诊断准确率较高,对宫腔内疾病的诊断和治疗有重要意义。
Objective To analyze the results of hysteroscopy for abnormal vaginal bleeding and to explore the diagnostic value of hysteroscopy. Methods The results of hysteroscopy in 286 patients with abnormal vaginal bleeding during hysteroscopy between June 2008 and June 2010 were analyzed retrospectively. Results Among the 286 cases, 202 cases were found to be abnormal, accounting for 70.6% (202/286), 90 cases (44.6%) of endometrial polyps, 14 cases (6.9%) of residual embryos and 13 cases (6.4 cases) of endometritis (3.9%), 13 cases (6.4%) of cervical canal polyp, 5 cases (2.5%) of uterine malformation, 11 cases (5.4%) of uterine submucous myoma, Cases (4.9%), 38 cases of endometrial hyperplasia (18.8%). Compared with the pathological diagnosis, hysteroscopy diagnostic sensitivity and specificity were 92.6% and 90.8%. Conclusion Hysteroscopy has a high diagnostic accuracy for the cause of abnormal vaginal bleeding and is of great significance for the diagnosis and treatment of intrauterine diseases.