宫腔镜检查及诊刮在诊断子宫内膜病变的应用

Diagnostic Value of Hysteroscopy Dilatation and Curettage on Endometrial Lesions

目的 探讨宫腔镜检查及诊刮对子宫内膜病变的诊断价值.方法 对2011年1月～2013年1月因异常子宫出血或B超常规检查宫腔异常的79例患者行宫腔镜检查及内膜病检结果进行回顾性分析.结果 本组B超检查中52例提示宫腔异常,病检正常15例,异常37例;27例宫腔形态未见异常,病检正常9例,异常18例,超声与病检符合率71.15%.宫腔镜检查异常61例,病检异常53例,正常8例;宫腔镜检查正常12例,病检正常10例,异常2例,宫腔镜检查与病检符合率86.89%.宫腔镜检查异常与病检符合率高于超声检查异常与病检的符合率（χ2 =4.285,P〈0.01）.结论宫腔镜检查结合诊刮可以观察到全部的子宫内膜,比常规B超检查能准确诊断早期子宫内膜病变.

Objective To explore the diagnostic value of hysteroscopy dilation and curettage for endometrial. Methods From January 2011 to January 2013, 79 women took hysteroscopy and pathologic diagnosis. Because of abnormal uterine bleeding or intrauterine abnormalities of ultrasound scanning. Their clinical data were retrospectively analyzed in this study. Results In 79 patients with hysteroscopy, there were 52 abnormal uterine cavities including 37 abnormal pathologic diagnosis and 15 normal ones and 27 normal uterine cavities including 18 abnormal pathologic diagnosis and 9 normal ones. The correspondence between pathology and ultrasound was 71.15 % . There were 61 cases undergoing hysteroscopy with abnormal uterine,including 53 abnormal pathologic and 8 normal ones. The correspondence between pathology and hysteroscopy was 86.89%. The correspondence in hysteroscopy was obviously higher than that in ultrasound （X2 = 4. 285, P 〈 0. 01 ）. Conclusion Hysteroscopy dilation and curetage can observe the whole endometrial,more precise diagnose the endometrial.