子宫内膜病变132例临床分析

Analysis of endometrial lesion in 132 Cases

目的:回顾性分析在B超基础上,宫腔镜结合病理结果对子宫内膜病变的诊治。方法:对132例疑为子宫内膜病变患者行联合B超、宫腔镜检查,术中定位取材,行诊刮或电切术,并送病理学检查。结果:超声检查符合率65%,宫腔镜检查符合率92%,病理检查确诊率98.5%,超声检查与宫腔镜检查对子宫内膜病变的检出率差异有统计学意义(P<0.05)。结论:子宫内膜病变应根据症状、B超初筛,宫腔镜检查定位、取材,结合病理检查才能提高疾病诊断率。

Objective Rotrospective analysis on the basis of ultrasound,hysteroscopy combined with pathological results of the diagnosis and treatment of endometrial lesions. Method 132 cases of suspected patients with endometrial lesions were combined by ultrasonography and hysteroscopy examination,intraoperative localization based,line diagnosis or electricity cut method,and pathological examina-tion. Results Ultrasound coincidence rate was 65% ,hysteroscopy examination coincidence rate was 92% ,pathological examination diagnosis rate was 98. 5% ,ultrasound examination and hysteroscopy examination on for the detection of endometrial lesions had sigificant difference（P﹤0. 05）. Conclusion Endometial lesions should be based on symptoms,early ultrasound screening,hysteroscopy examination localization,ma-terials,combined with pathological examination can enhance the disease diagnosis rate.