宫腔镜在妇科疾病诊断和治疗中的应用

Application of Hysteroscopy in Diagnosis and Treatment of Gynecological Diseases

目的探讨宫腔镜在妇科疾病诊断及治疗中的应用价值。方法对210例已婚妇女因异常子宫出血、闭经、痛经、节育器嵌顿、节育器迷失等原因而行宫腔镜检查,对45例黏膜下子宫肌瘤、子宫内膜息肉等疾病患者行宫腔镜电切术。结果进行宫腔镜检查的210例患者中,180例为异常子宫出血(AUB),45例宫腔镜电切术均顺利完成,手术时间最短15min,最长60min,无一例发生子宫穿孔及出血。结论宫腔镜检查直观,准确,在诊断黏膜下肌瘤及子宫内膜息肉方面有重要价值。宫腔镜电切术可以替代子宫切除治愈异常子宫出血,黏膜下肌瘤等妇科良性疾病。

Objective To explore the value of hysteroseopy in the diagnosis and treatment of gynecological diseases. Methods Hysteroscopy was used in 210 cases of married women due to abnormal uterine bleeding, amenorrhea, dysmenorrhea, IUD incarcerated, IUD loss ,ect. Palace Endoscopic resection was used in 45 cases of submueosal uterine fibroids and endometrial polyps. Results In 210 patients examined by hysteroscopy, 180 eases were of abnormal uterine bleeding（AUB ）,45 of successful hysteroseopic resection in which the the shortest operative time was 15 minutes and the longest 60 minutes with uterine perforation and bleeding in none of the eases. Conclusion Hysteroscopy examination is intuitive,accurate and of great value in the diagnosis of submucosal fibroids and endometriosis. Hysteroscopic resection can be used as a substitute for hysterectomy to treat abnormal uterine bleeding, submucosal fibroids and other gynaecologieal benign diseases.