比较宫腔镜与传统诊刮术在子宫异常出血中诊断的应用

Comparison of Hysteroscopy and Traditional Diagnostic Curettage Applied in the Diagnosis of Abnormal Uterine Bleeding

目的比较宫腔镜与传统诊刮术在子宫异常出血中诊断的应用。方法选取该院2012年1月—2014年3月期间收治的54例子宫异常出血患者,所有患者均经诊断性刮宫术,并行宫腔镜治疗。比较两种诊断与术后病理诊断结果的符合率。结果 54例子宫异常出血患者经病理学诊断,32例为子宫内膜息肉,20例为子宫粘膜下肌瘤;与病理学诊断比较,宫腔镜检查符合率(90.6%)明显高于诊断性刮宫术(68.8%)(P<0.05);子宫粘膜下肌瘤宫腔镜检查符合率(85.0%)明显高于诊断性刮宫术(65.0%),两组数据比较差异有统计学意义(P<0.05)。结论宫腔镜下检查与治疗术在子宫内膜息肉和子宫粘膜下肌瘤引起的子宫异常出血的诊断中有明显的优势,值得临床推广。

Objective To compare the value of hysteroscopy and traditional diagnostic curettage applied to the diagnosis of abnormal uterine bleeding. Methods 54 cases with abnormal uterine bleeding admitted in our hospital from January 2012 to March2014 were selected. All the patients underwent the diagnostic curettage and treated by hysteroscopy. And the diagnostic result of these two methods was compared with that of postoperative pathologic diagnosis; the diagnostic accordance rate was compared between the two methods. Results Of the 54 patients with abnormal uterine bleeding, 32 cases were diagnosed with endometrial polyp and 20 cases with submucosal myoma of uterus by pathology. Compared with the pathological diagnosis, the diagnostic accordance rate of hysteroscopy（90.6%） was much higher than that of diagnostic curettage（68.8%）（P〈0.05）; the diagnostic accordance rate of hysteroscopy for submucosal myoma of uterus（85.0%） was obviously higher than that of the diagnostic curettage（65.0%）, the difference between the data of the two groups was statistically significant（P〈0.05）. Conclusion The examination and treatment under hysteroscope for the diagnosis of abnormal uterine bleeding caused by endometrial polyp and submucosal myoma of uterus have obvious advantages, which are worthy of clinical promotion.