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目的 探讨宫腔镜检查术在各种异常子宫出血中的诊断价值。方法 应用宫腔镜检查异常子宫出血患者 314例 ,术中行定位取材或诊断性刮宫。结果 宫腔镜诊断子宫内膜息肉的敏感性为 96 15 % ,子宫粘膜下肌瘤为 85 71% ,子宫内膜增殖症为 6 0 94% ,子宫内膜癌 6 0 %。结论 宫腔镜检查异常子宫出血 ,可提高对子宫内膜息肉及粘膜下子宫肌瘤的诊断率。尽管对子宫内膜增殖症及子宫内膜癌的敏感性与单纯诊刮相似 ,但可观察到更详细的形态学变化。
Objective To investigate the diagnostic value of hysteroscopy in various abnormal uterine bleeding. Methods Hysteroscopy in patients with abnormal uterine bleeding in 314 cases, intraoperative positioning or diagnostic curettage. Results The sensitivity of hysteroscopy in the diagnosis of endometrial polyps was 96 15%, uterine fibroids 85 71%, endometrial hyperplasia 6 0 94% and endometrial carcinoma 60%. Conclusion Hysteroscopy to detect abnormal uterine bleeding can improve the diagnosis of endometrial polyps and submucosal uterine fibroids. Although sensitivity to endometrial hyperplasia and endometrial cancer is similar to that of simple dissection, more detailed morphological changes can be observed.