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目的探讨宫腔镜与B超联合检查术对异常子宫出血的诊断治疗价值。方法回顾性分析应用宫腔镜联合B超检查及定位活检诊断异常子宫出血297例患者的临床资料。结果子宫黏膜下肌瘤17例,子宫内膜息肉34例,宫颈息肉48例,胚物残留22例,子宫内膜癌5例,子宫颈癌1例。经病理组织学检查证实,宫腔镜联合B超诊断子宫内膜病变的符合率为80.81%。结论宫腔镜检查是一种操作方便、安全有效、使用价值较高的诊断及治疗方法。
Objective To investigate the diagnostic value of hysteroscopy and B-ultrasound in diagnosis of abnormal uterine bleeding. Methods The clinical data of 297 patients diagnosed as abnormal uterine bleeding by hysteroscopy and biopsy were retrospectively analyzed. Results 17 cases of uterine submucous myoma, 34 cases of endometrial polyps, 48 cases of cervical polyps, embryo residue in 22 cases, 5 cases of endometrial cancer, cervical cancer in 1 case. Histopathological examination confirmed that hysteroscopy combined with B-ultrasound diagnosis of endometrial lesions in line with the rate of 80.81%. Conclusion Hysteroscopy is a convenient, safe and effective method of diagnosis and treatment.