宫腔镜诊治子宫内膜息肉112例临床分析

Clinical analysis of hysteroscopy in the treatment of 112 cases of endometrial polyp

目的探讨宫腔镜对子宫内膜息肉的诊断及治疗价值。方法回顾性分析经病理确诊为子宫内膜息肉的宫腔镜手术112例的临床资料,所有病例术前均经阴道B超检查。结果 112例经病理确诊的内膜息肉患者中,宫腔镜诊断92例,诊断符合率82.14%,阴道B超诊断49例,诊断符合率43.75%,两者比较差异有统计学意义(P<0.05)。宫腔镜误诊率17.86%,且多误诊为子宫内膜增生症及子宫黏膜下肌瘤。结论宫腔镜诊断子宫内膜息肉的准确性高于阴道B超,并且能使子宫内膜息肉的诊断与相应的治疗同时进行,值得临床推广。

Objective To analyze the diagnostic and therapeutic value of hysteroscopy in endometrial polyp（EMP）. Methods The clinical data of 112 patients with endometrial polyp by pathologic diagnosis were analyzed retrospectively. All of the patients were examined and treated with hysteroscopy. For all the cases, transvaginal ultrasound had been done before hysteroscopy. Results There were 49 cases of endometrial polyps who were accurately diagnosed by transvaginal ultrasound and 92 cases by hysteroscopy. The coincidence ratio of hysteroscopy and pathological examination in diagnosing EMP was 82.14%, while that of transvaginal ultrasound and pathological examination in diagnosing EMP was 43.75%, there was significant difference between them. Misdiagnosis rate of hysteroscopy was 17.86%. Misdiagnosis of hysteroscopy were more likely endometrial hyperplasia or submucous myoma. Conclusion Diagnosis of endometrial polyps by hysteroscopy are more accurate than transvaginal ultrasound. The accurate diagnosis and the corresponding treating of hysteroscopy in endometrial polyps at the same time is possible, so hysteroscopy is worthy of clinical application.