宫腔内占位性病变71例临床分析

Clinical Analysis of Intrauterine Occupational Disease in 71 Cases

目的 采用阴道超声和宫腔镜检查对宫腔内占位性病变进行诊断，探讨两者的诊断价值。方法 2004年1月～12月行阴道超声和宫腔镜检查150例，71例为宫腔占位性病变，宫腔镜检查的同时行病变摘取或活检术，作病理组织学检查。结果 71例宫腔占位病变中，≥46岁47例，绝大多数临床表现为异常子宫出血，阴道超声提示33例（46．48％），宫腔镜提示49例（69．01％），病理符合38例（53．52％）。对宫腔占位性病变的诊断，阴道超声与宫腔镜检查有显著性差异（P〈0．05）。结论 阴道超声检查有其优越性，不可替代；宫腔镜检查直观、准确，结合病理检查诊断更明确。

Objective To diagnose the intrauterine occupational disease by vaginal ultrasonography or hysteroscopy, and to evaluate the diagnostic values of these two methods. Methods One hundred and fifty patients were detected by vaginal ultrasonography and hysteroseopy from Jan 2004 to Dee 2004, and a total of 71 cases were confirmed intrauterine occupational disease. Tissue hysteroseopy or bioposy were performed during the hysterosoeopy in order to analyse the tissue pathology. Results In these 71 patients, 47 were no less than 46 years old. Most of them had abnormal uterine bleeding. Thirty-three cases （46.48%） were suggested by vaginal ultrasonography, and 49 （69.01%） by hysteroseopy. Thirty-eight cases （53.52%） were in line with the pathological result. There were significant differences between vaginal ulterasonography and hysteroseopy in diagnosing the intrauterine occupational disease （P 〈0.05）. Conclusion Vaginal ultrasonography has its advantages and is irreplaceable, and hysteroseopy is of facilitate and accuracy. The diagnosis will be more definite if the hysteroseopy is performed together with the pathologic examination.