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目的观察宫腔镜检查对子宫异常出血患者病因诊断的临床价值。方法回顾性分析629例因子宫异常出血行宫腔镜检查患者临床资料。结果宫腔镜检查诊断阳性率39.11%(246/629);育龄期及围绝经期患者531例中,检查发现器质性病变208例(3例恶性病变),占39.17%,发现宫内异物10例,占1.88%;绝经后出血98例中发现器质性病变28例(10例为恶性病变),占28.57%;与组织病理结果进行对照,宫腔镜诊断子宫异常出血符合率>80%。结论宫腔镜检查可作为子宫异常出血病因诊断的主要检查方法之一。
Objective To observe the clinical value of hysteroscopy in etiological diagnosis of patients with abnormal uterine bleeding. Methods A retrospective analysis of 629 cases of uterine bleeding due to abnormal hysteroscopy in patients with clinical data. Results The positive rate of hysteroscopy was 39.11% (246/629). Among the 531 cases of childbearing age and perimenopausal period, 208 cases (3 cases of malignant lesions) were found organic disease and 39.17% of them were found intrauterine foreign body 10 cases, accounting for 1.88%; 98 cases of postmenopausal bleeding found in 28 cases of organic disease (10 cases of malignant lesions), accounting for 28.57%; with histopathological findings were compared with hysteroscopy in the diagnosis of abnormal uterine bleeding in line with> 80 %. Conclusion Hysteroscopy can be used as one of the main methods to diagnose the cause of uterine anomalous hemorrhage.