宫腔镜对异常子宫出血的诊断价值

Diagnostic value of hysteroscope for abnormal uterine bleeding

目的探究宫腔镜对异常子宫出血的诊断价值。方法回顾性分析2016年10月至2018年10月本院收治的134例异常子宫出血患者的阴道超声和宫腔镜检查资料,并将诊断结果与病理结果进行比较,比较两种诊断方法的准确率。结果经过病理诊断,134例异常子宫出血患者中子宫内膜增生36例,子宫内膜息肉29例,子宫黏膜下肌瘤27例,子宫内膜炎11例,宫内节育器8例,萎缩性子宫内膜11例,宫内胚胎物质残留6例,子宫内膜癌6例,其中宫腔镜诊断异常子宫出血的准确率为83.58%,高于阴道超声的71.64%(P<0.05)。结论宫腔镜对异常子宫出血具有较高诊断价值,且更接近病理诊断结果。

Objective To investigate the diagnostic value of hysteroscope for abnormal uterine bleeding. Methods A retrospective analysis was performed on the 134 patients with abnormal uterine bleeding who were admitted to our hospital from October 2016 to October 2018. All patients underwent vaginal ultrasound and hysteroscopy, respectively. The diagnosis results were compared with pathological results. The diagnostic accuracy of the two methods was compared. Results After pathological diagnosis, in the 134 patients with abnormal uterine bleeding, there were 36 cases with endometrial hyperplasia,29 cases with endometrial polyps, 27 cases with uterine submucosal fibroids, 11 cases with endometritis, 8 cases with intrauterine devices, 11 cases with atrophic endometrium, 6 cases with intrauterine embryo material residue and 6 cases with endometrial cancer. The accuracy of hysteroscope for diagnosis of abnormal uterine bleeding was higher than that of vaginal ultrasound(83.58% vs. 71.64%)(P<0.05). Conclusion Hysteroscope is higher diagnostic value for abnormal uterine bleeding, which is closer to pathological diagnosis results.