异常子宫出血常见原因和宫腔镜诊断价值

To Investigate the Common Cause of Abnormal Uterine Bleeding and the Value of Hysteroscopy in its Patients

目的总结异常子宫出血的常见原因,评价宫腔镜诊断异常子宫出血的价值。方法于2017年3月—2018年3月抽取科室收治的异常子宫出血患者62例作为研究对象。所有患者的临床资料均完整,分析患者发生异常子宫出血的原因;以病理诊断结果的标准,分别为患者行超声检查和宫腔镜检查,对比两种检查方法的阳性诊断率。结果子宫黏膜下肌瘤、子宫内膜息肉、排卵障碍性子宫出血是导致患者异常子宫出血的常见原因;宫腔镜诊断与病理诊断的符合率为85.48%(53/62),超声诊断与病理诊断的符合率为64.52%(40/62),差异具有统计学意义(P<0.05)。结论异常子宫出血的诱发原因复杂,采用宫腔镜检查具有较高的阳性检出率,能够为患者的早期诊断和治疗提供有价值的参考。

Objective To summarize the common causes of abnormal uterine bleeding and evaluate the value of hysteroscopy in the diagnosis of abnormal uterine bleeding. Methods From March 2017 to March 2018, 62 patients with abnormal uterine bleeding were selected as the research subjects. The clinical data of all patients were complete, and the causes of abnormal uterine bleeding were analyzed. According to the standard of pathological diagnosis, patients were examined by ultrasonography and hysteroscopy respectively. The positive diagnostic rate of the two methods was compared. The criteria for pathological diagnosis were as follows： ultrasonography and hysteroscopy were performed on the patients, and the positive rate of the two methods was compared. Results Uterine submucous fibroids, endometrial polyps, and ovulatory obstructive uterine bleeding were the common causes of abnormal uterine bleeding. The coincidence rate between hysteroscopic diagnosis and pathological diagnosis was 85.48% （53/62）. The coincidence rate of pathological diagnosis was 64.52% （40/62）, the difference was statistically significant （P〈0.05）. Conclusion The causes of abnormal uterine bleeding are complex. Hysteroscopy has a high positive detection rate, which can provide valuable reference for early diagnosis and treatment of patients.