100例异常子宫出血临床诊治分析

Analysis of Clinical Diagnosis and Treatment of Abnormal Uterine Bleeding in 100 Cases

目的探究100例异常子宫出血患者临床诊治的效果。方法选取2018年1月至11月福泉市第一人民医院接收的100例异常子宫出血患者,随机分成传统的诊断性刮宫术组(48例)和宫腔镜下刮宫术组(52例),并分别采取孕激素法及雌孕激素联合法进行治疗。对所有患者经过检查后的病理类型进行分析,比较两组患者治疗后的疗效。结果子宫内膜增生、子宫内膜息肉及子宫黏膜下肌瘤是所有异常子宫出血患者的主要病理类型,分别占据总例数的65%、18%和10%。治疗后宫腔镜下刮宫术组的总有效率明显高于诊断性刮宫术组(96.15%vs.79.17%,P<0.05)。结论子宫内膜增生、子宫内膜息肉、子宫黏膜下肌瘤是异常子宫出血患者的主要病理类型。将宫腔镜刮宫术运用到诊断,并且使用雌、孕激素联合法,对于异常子宫出血患者有效。

Objective To investigate the clinical effect of diagnosis and treatment of 100 patients with abnormal uterine bleeding(AUB).Methods 100 cases with AUB admitted to Fuquan First Feople's Hospital from January to November 2018 were randomly divided into traditional diagnostic uterine curettage group(n=48)and hysteroscopic uterine curettage group(n=52).The two groups were treated with progesterone method and estrogen and progesterone method,respectively.The pathological patterns of all patients were analyzed,and the clinical effects of the two groups were compared.Results Endometrial hyperplasia,endometrial polyps and uterine submucous myoma were the main pathological types of all patients,accounting for 65%,18%and 10%,respectively.The total effective rate of the hysteroscopic uterine curettage group was higher than that of the traditional diagnostic uterine curettage group(96.15%vs.79.17%,P<0.05).Conclusion Endometrial hyperplasia,endometrial polyps and uterine submucous myoma are the main pathological types of patients with AUB.The combination of hysteroscopic uterine curettage used in diagnosis,and progesterone and estrogen used for treatment is effective for patients with AUB.