基于子宫腔镜在妇产科临床中的应用分析

Application Analysis of Hysteroscopy Based on Clinical Practice in Obstetrics and Gynecology

目的探讨子宫腔镜在妇产科临床诊断中的效果。方法方便选取该院2016年2月—2017年2月所诊治的100例妇产科疾病患者作为研究对象进行分析,所有患者的年龄均在30～50岁之间,平均年龄为(39.6±3.6)岁。该研究只设置了观察组,由相关医护人员对患者依次进行子宫腔镜检查。对于不能确诊的患者可以进行如:心肺功能、体温等辅助检查。进行子宫腔镜检查时,需对病人整个子宫腔仔细地进行全面的检查,包括子宫的左右侧壁、前壁、后壁及输卵管开口等,另一方面,可以通过采集相关组织的方式对一些不能够确认的病灶处进行病理检查。结果子宫腔镜对于慢性子宫内膜炎、子宫内膜增长、子宫肌瘤、子宫内膜癌的检出率和准确率较高。8例子宫腔镜诊断,8例子宫粘膜下肌瘤,检出率达到100.0%;4例子宫腔镜诊断,4例子宫内膜癌,检出率同样达100.0%;子宫内膜息肉患者有52例,子宫腔镜诊断有51例,检出率为98.1%;子宫内膜增长过长患者有20例,子宫腔镜诊断有20例,检出率为100.0%;子宫内膜炎有16例,子宫腔镜诊断有15例,检出率为93.75%。结论子宫腔镜在妇产科临床诊断中效果较好,准确率较高,值得推广使用。

Objective To investigate the effect of hysteroscopy in the clinical diagnosis of obstetrics and gynecology. Methods A total of 100 patients with gynecological diseases treated in the hospital from February 2016 to February 2017 were convenient selected as subjects. All patients were between 30 and 50 years old, with an average age of （39.6 ± 3.6） years old. In this study, only the observation group was set up, and the patients were sequentially subjected to hysteroscopy by the relevant medical staff. For patients who cannot be diagnosed, such as cardiopulmonary function, body temperature and other auxiliary examinations can be performed. When performing hysteroscopy, a thorough examination of the patient＇s entire uterine cavity was required, including the left and right side walls, the anterior wall, the posterior wall, and the fallopian tube opening of the uterus. On the other hand, some methods can be used to collect relevant tissues. Pathological examination was performed at the lesion that could not be confirmed. Results The detection rate and accuracy of hysteroscopy for chronic endometritis, endometrial growth, uterine fibroids and endometrial cancer were higher. 8 cases of hysteroscopic diagnosis, 8 cases of uterine submucosal fibroids, the detection rate reached 100.0%; 4 cases of hysteroscopic diagnosis, 4 cases of endometrial cancer, the detection rate was also 100.0%; endometrial polyps patients had 52 cases, 51 cases of hysteroscopic diagnosis, the detection rate was 98.1%; 20 cases of endometrial growth was too long, 20 cases of hysteroscopic diagnosis, the detection rate was 100.0%; endometritis had 16 cases, 15 cases of hysteroscopic diagnosis, and the detection rate was 93.75%. Conclusion Hysteroscopy has a good effect in the clinical diagnosis of obstetrics and gynecology, and its accuracy is high. It is worthy of popularization.