宫腔镜在功能失调性子宫出血中的临床应用

Clinical Application of Uteroscope in Disfunctional Uterine Bleeding

目的探讨宫腔镜在诊治功能失调性子宫出血中的临床应用价值。方法对我院191例患者行宫腔镜检查的临床资料进行回顾性分析。结果本组行宫腔镜检查的191例患者中功能失调性子宫出血78例居首位,占40.8%,依次是粘膜下子宫肌瘤45例,占23.6%;子宫内膜息肉21例,占11.0%;子宫颈息肉16例,占8.4%;子宫内膜炎11例,占5.8%。以上5种病例占受检总人数的89.6%。78例功能失调性子宫出血患者经宫腔镜检查属正常子宫内膜者24例,占30.8%;而其余54例均出现不同程度的异常改变,占69.2%。结论宫腔镜检查是目前诊断宫腔内病变、宫颈管内病变的"金标准"。对于异常子宫出血、不孕症、反复流产、取环困难者进行常规检查,联合B超、病理检查可提高诊断的准确率,临床上具有广泛的应用前景。

Objectives To explore the application value of hysteroscopy of in the diagnosis and treatment of dysfunctional uterine bleeding. Methods 191 cases climcaldata of patients in our hospital with hysteroscopy were analyzed retrospectively. Results Among 191 patients in this group being carried out Hysteroscopy,dysfunctional uterine bleeding 78 cases is on top of the list,40.8%; Submucosal were 45 eases of uterine fibroids, 23.6% ;21 cases of endometrial polyps, 11.0% ; 16 cases of cervical polyps, 8.4% ; 11 cases of endometritis, 5.8%. 5 kinds of cases accounted for more than 89.6% of the total number of subjects. Among 78 cases of patients with dysfunctional uterine bleeding by hysteroscopy,24 cases is normal endometrium,30.8% ;While the remaining 54 cases showed varying degrees of abnormal changes,69.2%. Conclusion Hysteroscopy is a gold standard in the diagnosis of intrauterine lesions,cervical intraepithelial lesion. For abnormal uterine bleeding,infertilily,recurrent abortion,ring out the difficulties. It is necessary of carting out checks on the joint B-mode uhrasonography and pathological examination,it can improve diagnostic accuracy, and it has a broad application prospects.