宫腔镜在诊断绝经后妇女子宫内膜病变中的临床价值

目的探讨宫腔镜在诊断绝经后妇女子宫内膜病变中的临床价值。方法回顾性分析2008年4月～2010年4月行诊断性刮宫和宫腔镜检查的84例绝经后阴道出血患者的临床资料,分析宫腔镜(48例)与诊断性刮宫(36例)的术后病理诊断结果和随访满意度。结果宫腔镜与诊断性刮宫相比,宫腔镜镜下诊断结果与术后病理诊断结果的符合率高达80%以上,明显大于诊刮组(P<0.05),宫腔镜组患者对手术满意度较高。结论宫腔镜检查对组织损伤小、病变阳性检出率高,在绝经后妇女的子宫内膜病变诊断中具有重要的临床价值。

Objective To evaluate the value of hysteroscope in diagnosing endometrial affection of post menopausal women.Methods From April 2008 to April 2010 of 84 cases of colporrhagia after post-menopause which were examine with diagnostic curettage 36 cases or hysteroscope 48 cases were retrospectively analyzed the two groups’ pathological after surgicaloperation and the rate of content of followed up were analyzed.Results Compared with diagnostic curettage the rate of accord was more than 80% in patients who were examined by hysteroscope and pathology and the degree of oper satisfaction was higher than patients with diagnostic curettage.Conclusion The examine with hysteroscope was little injury for body tissue the positive rate are significantly higher than diagnostic curettage it has important value in diagnosing endometrial affection of post menopausal women.